Services Center for Independent Life, Inc.

Primary specialty

Case Management AgencyTaxonomy code 251B00000X

License

0976747 Issued in CA

Legal business name

SERVICES CENTER FOR INDEPENDENT LIFE, INC.

Practice address

107 Spring St
Claremont, CA 91711-4930

Phone

(909) 621-6722

Fax

(909) 445-0727

NPI assigned

Oct 4, 2010

Organization subpart

No

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

Authorized official

Name

Mr. Lawrence Grable

Title

Executive Director

Phone

(909) 621-6722

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1286150400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1401321600000",
    "number": "1093024309",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "107 SPRING ST",
            "city": "CLAREMONT",
            "state": "CA",
            "postal_code": "917114930",
            "telephone_number": "909-621-6722",
            "fax_number": "909-445-0727"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "107 SPRING ST",
            "city": "CLAREMONT",
            "state": "CA",
            "postal_code": "917114930",
            "telephone_number": "909-621-6722",
            "fax_number": "909-445-0727"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SERVICES CENTER FOR INDEPENDENT LIFE, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-10-04",
        "last_updated": "2014-05-29",
        "status": "A",
        "authorized_official_last_name": "GRABLE",
        "authorized_official_first_name": "LAWRENCE",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "909-621-6722",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "251B00000X",
            "taxonomy_group": "",
            "desc": "Case Management",
            "state": "CA",
            "license": "0976747",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• David G. Seccombe, DDS
• Patricia L Sellers
• Alexander Senturia
• Agustina Alejandra Sepulveda, PHD, LCSW
• Michael Anthony Sequeira, M.D
• Kimberly April Setterlund, LCSW
• Latika Shah, RPH
• Mohammad Shahisaman, AMFT
• Bonny Shapin, PH.D.
• Ashok Sharma, MD

• Case Management Agency in Claremont, CA
• Providers in Claremont, CA by specialty
• Case Management Agency in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 29, 2014; 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.