INDEPENDENCE AT HOME NPI 1063750735

NPI Information

  • NPI: 1063750735
  • Provider Name: INDEPENDENCE AT HOME
  • Classification: Community/Behavioral Health - 251S00000X
  • Entity Type: Organization
  • Address: 910 AVENUE F
    GOTHENBURG, NE
    ZIP 69138
  • Phone: (308) 537-4332

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NPI Details

INDEPENDENCE AT HOME is a community behavioral health in Gothenburg, NE. The provider is a private or public agency usually under local government jurisdiction, responsible for assuring the delivery of community based mental health, intellectual disabilities, substance abuse and/or behavioral health services to individuals with those disabilities. Services may range from companion care, respite, transportation, community integration, crisis intervention and stabilization, supported employment, day support, prevocational services, residential support, therapeutic and supportive consultation, environmental modifications, intensive in-home therapy and day treatment, in addition to traditional mental health and behavioral treatment. INDEPENDENCE AT HOME NPI is 1063750735. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

910 AVENUE F
GOTHENBURG, NE
ZIP 69138-060
Phone: (308) 537-4332
Fax: (308) 537-4335

The provider's authorized official is Irene Britt .
The authorized official title is Executive Director and has the following contact phone number (308) 258-1914.

The enumeration date for this NPI number is 1/30/2013 and was last updated on 12/11/2019.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1224Z00000XOccupational Therapy AssistantNo
2372500000XChore ProviderNo
3372600000XAdult CompanionNo
4374U00000XHome Health AideNo
5376J00000XHomemakerNo
6376K00000XNurse's AideNo
7224ZR0403XOccupational Therapy AssistantDriving and Community MobilityNo
8251S00000XCommunity/Behavioral HealthYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
11699267864MEDICAIDNEBRASKA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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