Active NPI
Independent Living Home Solutions, Inc
- Durable Medical Equipment & Medical Supplies
- Madison, MS
National Provider Identifier
1114149218
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Durable Medical Equipment & Medical Supplies
- Legal business name
- INDEPENDENT LIVING HOME SOLUTIONS, INC
- Practice address
- 119 Ridgefield Dr
Madison, MS 39110-7488 - Phone
- (601) 214-6134
- Fax
- (601) 510-9521
- NPI assigned
- May 2, 2007
- Last updated
- Aug 22, 2020
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mr. Billy Vaughan Jr.
- Title
- President
- Phone
- (601) 214-6134
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Durable Medical Equipment & Medical Supplies | 332B00000X | NU | Primary |
Addresses
Primary practice location
119 Ridgefield Dr
Madison, MS 39110-7488
Mailing address
PO Box 1908
Ridgeland, MS 39158-1908
Phone (601) 214-6134
Other names 1
- Franchise Fusion, Inc
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1178064000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1598054400000",
"number": "1114149218",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 1908",
"city": "RIDGELAND",
"state": "MS",
"postal_code": "391581908",
"telephone_number": "601-214-6134",
"fax_number": "601-510-9521"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "119 RIDGEFIELD DR",
"city": "MADISON",
"state": "MS",
"postal_code": "391107488",
"telephone_number": "601-214-6134",
"fax_number": "601-510-9521"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "INDEPENDENT LIVING HOME SOLUTIONS, INC",
"organizational_subpart": "NO",
"enumeration_date": "2007-05-02",
"last_updated": "2020-08-22",
"status": "A",
"authorized_official_last_name": "VAUGHAN",
"authorized_official_first_name": "BILLY",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "601-214-6134",
"authorized_official_name_prefix": "Mr.",
"authorized_official_name_suffix": "Jr."
},
"taxonomies": [
{
"code": "332B00000X",
"taxonomy_group": "",
"desc": "Durable Medical Equipment & Medical Supplies",
"state": "NU",
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "Franchise Fusion, Inc",
"code": "4",
"type": "Former Legal Business Name"
}
]
}
Other providers in Madison, MS
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.