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PROVIDER DEMOGRAPHIC INFORMATION Supporting line for group header
 
Name: Independence Support Services LLC
Address: 637 DANE CT
NEW CASTLE, DE 19720-5639
Phone: (484) 450-6662
E-mail: hsbrady@independencesupportservices.com
Web Site: N/A

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PROVIDER CERTIFICATION INFORMATION Supporting line for group header
Click here to view Provider Certification Information

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PROVIDER'S PARENT/ REGIONAL OFFICE Supporting line for group header
 
Type: Corporate Office
Name: INDEPENDENCE SUPPORT SERVICES LLC
Address: 637 DANE CT
NEW CASTLE, DE 19720-5639
Phone: (484) 450-6662

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PROVIDER SERVICES AND RATES Supporting line for group header
 
County : Berks
|Service Name / Level |Rate
Needs Exception Allowance (NEA)-Adult Res (6400) Not Set
Needs Excptn Allowance (NEA)-Adult Res (6400)-521 Not Set
Res Hab-1 Person-NG 4-Elig $1,185.86 / 1 Day
Res Hab-1 Person-NG 4-Elig-w/Day Supports $871.56 / 1 Day
Res Hab-1 Person-NG5-Elig-w/Day Supports $1,341.85 / 1 Day
Res Hab-2 Person-NG 1-Elig $554.38 / 1 Day
Res Hab-2 Person-NG 1-Elig-w/Day Supports $433.05 / 1 Day
Res Hab-2 Person-NG 2-Elig $643.34 / 1 Day
Res Hab-2 Person-NG 2-Elig-w/Day Supports $545.91 / 1 Day
Res Hab-2 Person-NG 3-Elig $726.82 / 1 Day
Res Hab-2 Person-NG 3-Elig-w/Day Supports $668.54 / 1 Day
Res Hab-2 Person-NG 4-Elig $869.36 / 1 Day
Res Hab-2 Person-NG 4-Elig-w/Day Supports $730.86 / 1 Day
Res Hab-2 Person-NG5-Elig $1,312.57 / 1 Day
Res Hab-2 Person-NG5-Elig-w/Day Supports $1,215.16 / 1 Day
Res Hab-Lic-1 Person-Inelig $93.64 - $105.05 / 1 Day
Res Hab-Lic-2 Person-Inelig $50.22 - $57.29 / 1 Day
Supplemental Habilitation 1:1 - 15 min $6.12 / 15 min.
 
County : Chester
|Service Name / Level |Rate
Res Hab-1 Person-NG5-Elig-w/Day Supports $1,341.85 / 1 Day
Res Hab-2 Person-NG 1-Elig $523.00 - $554.38 / 1 Day
Res Hab-2 Person-NG 1-Elig-w/Day Supports $408.54 - $433.05 / 1 Day
Res Hab-2 Person-NG 2-Elig $606.92 - $643.34 / 1 Day
Res Hab-2 Person-NG 2-Elig-w/Day Supports $515.01 - $545.91 / 1 Day
Res Hab-2 Person-NG 3-Elig $685.68 - $726.82 / 1 Day
Res Hab-2 Person-NG 3-Elig-w/Day Supports $630.70 - $668.54 / 1 Day
Res Hab-2 Person-NG 4-Elig $820.15 - $869.36 / 1 Day
Res Hab-2 Person-NG 4-Elig-w/Day Supports $689.49 - $730.86 / 1 Day
Res Hab-2 Person-NG5-Elig $1,312.57 / 1 Day
Res Hab-2 Person-NG5-Elig-w/Day Supports $1,215.16 / 1 Day
Res Hab-Lic-1 Person-Inelig $93.64 / 1 Day
Res Hab-Lic-2 Person-Inelig $50.22 - $57.29 / 1 Day
Supplemental Habilitation 1:1 - 15 min $5.77 - $6.12 / 15 min.
Supplemental Habilitation 2:1 - 15 min $11.53 / 15 min.
 
County : Delaware
|Service Name / Level |Rate
NEA - Adult Res (6400) - No Day - NG5 $0.01 / 1 Day
Needs Except. Allowance (NEA)-Adult Res (6400) NG5 Not Set
Needs Exception Allowance (NEA)-Adult Res (6400) Not Set
Needs Excptn Allowance (NEA)-Adult Res (6400)-521 $1,471.42 - $1,620.46 / 1 Day
Res Hab-1 Person-NG 4-Elig $1,185.86 / 1 Day
Res Hab-1 Person-NG 4-Elig-w/Day Supports $871.56 / 1 Day
Res Hab-1 Person-NG5-Elig $1,754.51 / 1 Day
Res Hab-1 Person-NG5-Elig-w/Day Supports $1,341.85 / 1 Day
Res Hab-2 Person-NG 1-Elig $523.00 - $554.38 / 1 Day
Res Hab-2 Person-NG 1-Elig-w/Day Supports $408.54 - $433.05 / 1 Day
Res Hab-2 Person-NG 2-Elig $606.92 - $643.34 / 1 Day
Res Hab-2 Person-NG 2-Elig-w/Day Supports $515.01 - $545.91 / 1 Day
Res Hab-2 Person-NG 3-Elig $685.68 - $726.82 / 1 Day
Res Hab-2 Person-NG 3-Elig-w/Day Supports $630.70 - $668.54 / 1 Day
Res Hab-2 Person-NG 4-Elig $820.15 - $869.36 / 1 Day
Res Hab-2 Person-NG 4-Elig-w/Day Supports $689.49 - $730.86 / 1 Day
Res Hab-2 Person-NG5-Elig $1,312.57 / 1 Day
Res Hab-2 Person-NG5-Elig-w/Day Supports $1,215.16 / 1 Day
Res Hab-Lic-1 Person-Inelig $93.64 - $105.05 / 1 Day
Res Hab-Lic-2 Person-Inelig $50.22 - $57.29 / 1 Day
Supplemental Habilitation 1:1 - 15 min $5.77 - $6.12 / 15 min.
Supplemental Habilitation 2:1 - 15 min $11.53 / 15 min.
 
County : Lancaster
|Service Name / Level |Rate
Res Hab-1 Person-NG5-Elig-w/Day Supports $1,341.85 / 1 Day
Res Hab-2 Person-NG 1-Elig $554.38 / 1 Day
Res Hab-2 Person-NG 1-Elig-w/Day Supports $433.05 / 1 Day
Res Hab-Lic-1 Person-Inelig $93.64 / 1 Day
 
County : Montgomery
|Service Name / Level |Rate
NEA - Adult Res (6400) - No Day - NG5 $0.01 / 1 Day
Needs Except. Allowance (NEA)-Adult Res (6400) NG5 Not Set
Needs Exception Allowance (NEA)-Adult Res (6400) Not Set
Needs Excptn Allowance (NEA)-Adult Res (6400)-521 Not Set
Res Hab-1 Person-NG 4-Elig $1,185.86 / 1 Day
Res Hab-1 Person-NG 4-Elig-w/Day Supports $871.56 / 1 Day
Res Hab-1 Person-NG5-Elig $1,754.51 / 1 Day
Res Hab-1 Person-NG5-Elig-w/Day Supports $1,341.85 / 1 Day
Res Hab-2 Person-NG 1-Elig $523.00 - $554.38 / 1 Day
Res Hab-2 Person-NG 1-Elig-w/Day Supports $408.54 - $433.05 / 1 Day
Res Hab-2 Person-NG 2-Elig $606.92 - $643.34 / 1 Day
Res Hab-2 Person-NG 2-Elig-w/Day Supports $515.01 - $545.91 / 1 Day
Res Hab-2 Person-NG 3-Elig $685.68 - $726.82 / 1 Day
Res Hab-2 Person-NG 3-Elig-w/Day Supports $630.70 - $668.54 / 1 Day
Res Hab-2 Person-NG 4-Elig $820.15 - $869.36 / 1 Day
Res Hab-2 Person-NG 4-Elig-w/Day Supports $689.49 - $730.86 / 1 Day
Res Hab-2 Person-NG5-Elig $1,312.57 / 1 Day
Res Hab-2 Person-NG5-Elig-w/Day Supports $1,215.16 / 1 Day
Res Hab-Lic-1 Person-Inelig $93.64 - $105.05 / 1 Day
Res Hab-Lic-2 Person-Inelig $50.22 - $57.29 / 1 Day
Supplemental Habilitation 1:1 - 15 min $5.77 - $6.12 / 15 min.
Supplemental Habilitation 2:1 - 15 min $11.53 / 15 min.
 
County : Northampton
|Service Name / Level |Rate
Res Hab-2 Person-NG 4-Elig $869.36 / 1 Day
Res Hab-Lic-2 Person-Inelig $57.29 / 1 Day
 
County : Philadelphia
|Service Name / Level |Rate
NEA - Adult Res (6400) - No Day - NG5 $0.01 - $1,943.19 / 1 Day
Needs Except. Allowance (NEA)-Adult Res (6400) NG5 Not Set
Needs Exception Allowance (NEA)-Adult Res (6400) Not Set
Needs Excptn Allowance (NEA)-Adult Res (6400)-521 $1,601.20 / 1 Day
Res Hab-1 Person-NG 4-Elig $1,185.86 / 1 Day
Res Hab-1 Person-NG 4-Elig-w/Day Supports $871.56 / 1 Day
Res Hab-1 Person-NG5-Elig $1,754.51 / 1 Day
Res Hab-1 Person-NG5-Elig-w/Day Supports $1,341.85 / 1 Day
Res Hab-2 Person-NG 1-Elig $523.00 - $554.38 / 1 Day
Res Hab-2 Person-NG 1-Elig-w/Day Supports $408.54 - $433.05 / 1 Day
Res Hab-2 Person-NG 2-Elig $606.92 - $643.34 / 1 Day
Res Hab-2 Person-NG 2-Elig-w/Day Supports $515.01 - $545.91 / 1 Day
Res Hab-2 Person-NG 3-Elig $685.68 - $726.82 / 1 Day
Res Hab-2 Person-NG 3-Elig-w/Day Supports $630.70 - $668.54 / 1 Day
Res Hab-2 Person-NG 4-Elig $820.15 - $869.36 / 1 Day
Res Hab-2 Person-NG 4-Elig-w/Day Supports $689.49 - $730.86 / 1 Day
Res Hab-2 Person-NG5-Elig $1,312.57 / 1 Day
Res Hab-2 Person-NG5-Elig-w/Day Supports $1,215.16 / 1 Day
Res Hab-Lic-1 Person-Inelig $93.64 - $105.05 / 1 Day
Res Hab-Lic-2 Person-Inelig $50.22 - $57.29 / 1 Day
Supplemental Habilitation 1:1 - 15 min $5.77 - $6.12 / 15 min.
Supplemental Habilitation 2:1 - 15 min $11.53 / 15 min.

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