Independent Living Services, LLC

Primary specialty

Home Health AgencyTaxonomy code 251E00000X

Legal business name

INDEPENDENT LIVING SERVICES, LLC

Practice address

23 Fordham Rd
Essex, CT 06426-1424

Phone

(860) 767-7993

Fax

(860) 767-7993

NPI assigned

Oct 29, 2008

Last updated

Oct 29, 2008By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mrs. Belinda A Massiello, HHA

Title

Owner

Phone

(860) 767-7993

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1225238400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1225238400000",
    "number": "1053564492",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "23 FORDHAM RD",
            "city": "ESSEX",
            "state": "CT",
            "postal_code": "064261424",
            "telephone_number": "860-767-7993",
            "fax_number": "860-767-7993"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "23 FORDHAM RD",
            "city": "ESSEX",
            "state": "CT",
            "postal_code": "064261424",
            "telephone_number": "860-767-7993",
            "fax_number": "860-767-7993"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "INDEPENDENT LIVING SERVICES, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-10-29",
        "last_updated": "2008-10-29",
        "status": "A",
        "authorized_official_last_name": "MASSIELLO",
        "authorized_official_first_name": "BELINDA",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "860-767-7993",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "HHA"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Taylor C Hartman
• Earl Rodney Hornbake III, MD
• Joan Marie Horwat, LCSW
• Dianne Hunt-Mason, A.P.R.N.C.S, M.ED
• Ukamaka Vivian Iloeje
• James M Jablonka, PT
• Natosha Jackson
• Catherine Jellie, LCSW
• Anna Johnson, LCSW
• Stacia Oakes Johnson, MSW

• Home Health Agency in Essex, CT
• Providers in Essex, CT by specialty
• Home Health Agency in Connecticut

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 29, 2008; 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.