NPIMap

Organization Active NPI

True Independent Living LLC

  • Developmental Disabilities Clinic/Center
  • Rockwall, TX
National Provider Identifier
1003465550
Registry record updated Sep 7, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Developmental Disabilities Clinic/CenterTaxonomy code 261QD1600X
Legal business name
TRUE INDEPENDENT LIVING LLC
Practice address
1532 Stewart Dr
Rockwall, TX 75032-6599
Phone
(646) 239-7393
NPI assigned
Sep 7, 2019
Organization subpart
Yes
Parent organization
TRUE INDEPENDENT LIVING LLCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Sep 7, 2019

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Eric ObarogieNPI 1871349126
Title
Ceo
Phone
(646) 239-7393

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Intellectual & Developmental Disabilities PsychologistGroup: 193400000X SINGLE SPECIALTY GROUP 103TM1800X
Developmentally Disabled Services Day Training Agency 251C00000X
Developmental Disabilities Clinic/Center 261QD1600X Primary

Addresses

Primary practice location

1532 Stewart Dr
Rockwall, TX 75032-6599

Mailing address

1532 Stewart Dr
Rockwall, TX 75032-6599
Phone (646) 239-7393

Other names 1

  • True Independent Living LLC Former legal business name

Electronic endpoints 1

TypeEndpointUseAffiliation
CONNECT URL N/A Direct

National Provider Directory

National Provider Directory
Part of
True Independent Living LLC

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1567814400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1567814400000",
    "number": "1003465550",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1532 STEWART DR",
            "city": "ROCKWALL",
            "state": "TX",
            "postal_code": "750326599",
            "telephone_number": "646-239-7393"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1532 STEWART DR",
            "city": "ROCKWALL",
            "state": "TX",
            "postal_code": "750326599",
            "telephone_number": "646-239-7393"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TRUE INDEPENDENT LIVING LLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "TRUE INDEPENDENT LIVING LLC",
        "enumeration_date": "2019-09-07",
        "last_updated": "2019-09-07",
        "status": "A",
        "authorized_official_last_name": "OBAROGIE",
        "authorized_official_first_name": "ERIC",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "646-239-7393"
    },
    "taxonomies": [
        {
            "code": "103TM1800X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychologist, Intellectual & Developmental Disabilities",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "251C00000X",
            "taxonomy_group": "",
            "desc": "Day Training, Developmentally Disabled Services",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QD1600X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Developmental Disabilities",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "N/A",
            "affiliation": "N",
            "endpointDescription": "N/A",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "1532 Stewart Dr",
            "city": "Rockwall",
            "state": "TX",
            "country_code": "US",
            "postal_code": "750326599",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "organization_name": "True Independent Living LLC",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

Other providers in Rockwall, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 7, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.