Support for Independent Living, LLC

Primary specialty

Home Health AgencyTaxonomy code 251E00000X

Legal business name

SUPPORT FOR INDEPENDENT LIVING, LLC

Practice address

2320 Haverford Rd
Suite 220
Ardmore, PA 19003-2913

Phone

(610) 649-3148

Fax

(610) 649-3148

NPI assigned

Mar 30, 2011

Organization subpart

No

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

Authorized official

Name

Daisy Anglin, MBA

Title

Executive Director

Phone

(610) 649-3148

Specialties & licenses 3

Addresses

Locations

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

{
    "created_epoch": "1301443200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1440547200000",
    "number": "1073802013",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2320 HAVERFORD RD",
            "address_2": "SUITE 220",
            "city": "ARDMORE",
            "state": "PA",
            "postal_code": "190032913",
            "telephone_number": "610-649-3148",
            "fax_number": "610-649-3923"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2320 HAVERFORD RD",
            "address_2": "SUITE 220",
            "city": "ARDMORE",
            "state": "PA",
            "postal_code": "190032913",
            "telephone_number": "610-649-3148",
            "fax_number": "610-649-3148"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SUPPORT FOR INDEPENDENT LIVING, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-03-30",
        "last_updated": "2015-08-26",
        "status": "A",
        "authorized_official_last_name": "ANGLIN",
        "authorized_official_first_name": "DAISY",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "610-649-3148",
        "authorized_official_credential": "MBA"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "251T00000X",
            "taxonomy_group": "",
            "desc": "Program of All-Inclusive Care for the Elderly (PACE) Provider Organization",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive Care",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• All providers in Ardmore, PA
• Home Health Agency in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 26, 2015; 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.