{
  "npi": "1134414303",
  "enumeration_type": "NPI-2",
  "basic": {
    "authorized_official_credential": "PSY D, LPC",
    "authorized_official_first_name": "KIMBERLY",
    "authorized_official_last_name": "DELGADO",
    "authorized_official_middle_name": "SUE",
    "authorized_official_telephone_number": "4174488960",
    "authorized_official_title_or_position": "CEO & Executive Director",
    "certification_date": "2024-04-04",
    "enumeration_date": "2011-06-15",
    "last_updated": "2024-04-04",
    "organization_name": "AT HOME INDEPENDENCE,LLC",
    "organizational_subpart": "NO",
    "status": "A"
  },
  "addresses": [
    {
      "address_1": "216 W CHERRY ST",
      "address_purpose": "LOCATION",
      "address_type": "DOM",
      "city": "NEVADA",
      "country_code": "US",
      "country_name": "United States",
      "fax_number": "417-448-6555",
      "postal_code": "647723362",
      "state": "MO",
      "telephone_number": "417-448-8960"
    },
    {
      "address_1": "216 W CHERRY ST",
      "address_purpose": "MAILING",
      "address_type": "DOM",
      "city": "NEVADA",
      "country_code": "US",
      "country_name": "United States",
      "fax_number": "417-448-6555",
      "postal_code": "647723362",
      "state": "MO",
      "telephone_number": "417-448-8960"
    }
  ],
  "taxonomies": [
    {
      "code": "251E00000X",
      "desc": "Home Health",
      "license": null,
      "primary": true,
      "state": null,
      "taxonomy_group": ""
    },
    {
      "code": "253Z00000X",
      "desc": "In Home Supportive Care",
      "license": null,
      "primary": false,
      "state": null,
      "taxonomy_group": ""
    }
  ],
  "compliance": {
    "oig_leie_exclusion": {
      "excluded": false,
      "status": "CLEAR",
      "matches": [],
      "totalDbRecords": 84224
    },
    "cms_pecos_eligibility": {
      "note": "Not listed in CMS Order & Referring PECOS file or institutional NPI-2"
    }
  },
  "medicare_utilization": null,
  "enrichment": {
    "plain_english_specialty": "CMS-Certified Home Health Care & Skilled Nursing Agency",
    "certifying_board": "CMS Home Health Conditions of Participation / CHAP / ACHC",
    "cms_medicare_crosswalk": [
      {
        "medicare_code": "A4[11]",
        "medicare_type": "Home Health Agency"
      },
      {
        "medicare_code": "A4[11]",
        "medicare_type": "Home Health Agency (Subunit)"
      }
    ]
  }
}