Independent Life LLC

Primary specialty

Comprehensive Outpatient Rehabilitation Facility (CORF)Taxonomy code 261QR0401X

Legal business name

INDEPENDENT LIFE LLC

Practice address

4047 Ockeechobee Blvd.
Ste 123
West Palm Beach, FL 33409-3236

Phone

(561) 385-0868

NPI assigned

Jul 26, 2007

Organization subpart

No

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

Authorized official

Name

Mrs. Prince E. Green, O.T

Title

Authorized.Representative

Phone

(561) 385-0868

Specialties & licenses 1

Addresses

Locations

Practitioners 1

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

• Maurice George Cogle, P.T.

  • Physical Therapist
  • Palm Beach Gardens, FL
  • NPI 1205040441
  NPD (past)

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

{
    "created_epoch": "1185408000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1262390400000",
    "number": "1023208972",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4047 OCKEECHOBEE BLVD.",
            "address_2": "STE 123",
            "city": "WEST PALM BEACH",
            "state": "FL",
            "postal_code": "334093236",
            "telephone_number": "561-385-0868"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4047 OCKEECHOBEE BLVD.",
            "address_2": "STE 123",
            "city": "WEST PALM BEACH",
            "state": "FL",
            "postal_code": "334093236",
            "telephone_number": "561-385-0868"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "INDEPENDENT LIFE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-07-26",
        "last_updated": "2010-01-02",
        "status": "A",
        "authorized_official_last_name": "GREEN",
        "authorized_official_first_name": "PRINCE",
        "authorized_official_middle_name": "E.",
        "authorized_official_title_or_position": "AUTHORIZED.REPRESENTATIVE",
        "authorized_official_telephone_number": "561-385-0868",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "O.T"
    },
    "taxonomies": [
        {
            "code": "261QR0401X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Rehabilitation, Comprehensive Outpatient Rehabilitation Facility (CORF)",
            "state": "FL",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• In-House Diagnostic Services Inc
• In-House Diagnostic Services, Inc.
• Incredible Care Facility LLC
• Stefanie Marie Indellicati, PA-C
• Independence Home Health of the Palm Beaches. LLC.
• Independent Recovery Solutions LCC
• Independent Support Care Service LLC
• Mario Michael Indiviglio, AP
• Loida Infante
• Infants and Children, P.a.

• Comprehensive Outpatient Rehabilitation Facility (CORF) in West Palm Beach, FL
• Providers in West Palm Beach, FL by specialty
• Comprehensive Outpatient Rehabilitation Facility (CORF) in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 2, 2010; 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.