Independence Lifestyles Inc

Primary specialty

In Home Supportive Care AgencyTaxonomy code 253Z00000X

License

5291PCS-3 Issued in NV

Legal business name

INDEPENDENCE LIFESTYLES INC

Practice address

1701 N Green Valley Pkwy
Suite 9a
Henderson, NV 89074-5885

Phone

(702) 407-1100

Fax

(702) 614-4783

NPI assigned

Jan 11, 2013

Organization subpart

No

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

Authorized official

Name

Mrs. Jacquelyn Diasio

Title

Owner

Phone

(702) 407-1100

Specialties & licenses 1

Addresses

Other names 1

• Visiting Angels Doing business as

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Locations

Practitioners 4

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

• Lolita Abelardo

  • Personal Care Attendant
  • Henderson, NV
  • NPI 1598257917
  NPD (past)
• Dianna Ahlson-Krueger

  • Personal Care Attendant
  • Henderson, NV
  • NPI 1689166001
  NPD (past)
• Brandi Perry

  • Personal Care Attendant
  • Henderson, NV
  • NPI 1023573128
  NPD (past)
• Tammy Wagner

  • Personal Care Attendant
  • Henderson, NV
  • NPI 1760985758
  NPD (past)

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

{
    "created_epoch": "1357862400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1357862400000",
    "number": "1144567017",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1701 N GREEN VALLEY PKWY",
            "address_2": "SUITE 9A",
            "city": "HENDERSON",
            "state": "NV",
            "postal_code": "890745885",
            "telephone_number": "702-407-1100",
            "fax_number": "702-614-4783"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1701 N GREEN VALLEY PKWY",
            "address_2": "SUITE 9A",
            "city": "HENDERSON",
            "state": "NV",
            "postal_code": "890745885",
            "telephone_number": "702-407-1100",
            "fax_number": "702-614-4783"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "INDEPENDENCE LIFESTYLES INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-01-11",
        "last_updated": "2013-01-11",
        "status": "A",
        "authorized_official_last_name": "DIASIO",
        "authorized_official_first_name": "JACQUELYN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "702-407-1100",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive Care",
            "state": "NV",
            "license": "5291PCS-3",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Visiting Angels",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Ims Neurosurgical Specialists LLC
• Natasha Inacio
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• Alejandro Jimenez Incera, AGNP
• Inclusion Fusion, LLC
• Indigo Home Health Services Inc
• Maria De la Caridad Infante Fernandez
• Infectious Disease Providers of Nevada LTD
• Infectious Diseases of Southern Nevada a Professional LLC
• Infinite Way Behavior

• In Home Supportive Care Agency in Henderson, NV
• Providers in Henderson, NV by specialty
• In Home Supportive Care Agency in Nevada

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 11, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.