Independent Support Care Service LLC

Primary specialty

Developmentally Disabled Services Day Training AgencyTaxonomy code 251C00000X

Legal business name

INDEPENDENT SUPPORT CARE SERVICE LLC

Practice address

2188 S Haverhill Rd
West Palm Beach, FL 33415-7352

Phone

(561) 856-2081

NPI assigned

May 17, 2023

Organization subpart

No

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

Authorized official

Name

Natwona FullerNPI 1396436606

Title

Owner

Phone

(561) 856-2081

Specialties & licenses 2

Addresses

Other names 1

• INDEPENDENT SUPPORT CARE SERVICE Doing business as

Practitioners 1

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

• Natwona Fuller

  • Home Health Agency
  • West Palm Beach, FL
  • NPI 1396436606
  NPD Authorized official

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

{
    "created_epoch": "1684281600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1684281600000",
    "number": "1194416446",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 16604",
            "city": "WEST PALM BEACH",
            "state": "FL",
            "postal_code": "334166604",
            "telephone_number": "561-856-2081"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2188 S HAVERHILL RD",
            "city": "WEST PALM BEACH",
            "state": "FL",
            "postal_code": "334157352",
            "telephone_number": "561-856-2081"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "INDEPENDENT SUPPORT CARE SERVICE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-05-17",
        "last_updated": "2023-05-17",
        "certification_date": "2023-05-17",
        "status": "A",
        "authorized_official_last_name": "FULLER",
        "authorized_official_first_name": "NATWONA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "561-856-2081"
    },
    "taxonomies": [
        {
            "code": "251C00000X",
            "taxonomy_group": "",
            "desc": "Day Training, Developmentally Disabled Services",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "INDEPENDENT SUPPORT CARE SERVICE",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Incredible Care Facility LLC
• Stefanie Marie Indellicati, PA-C
• Independence Home Health of the Palm Beaches. LLC.
• Independent Life LLC
• Independent Recovery Solutions LCC
• Mario Michael Indiviglio, AP
• Loida Infante
• Infants and Children, P.a.
• Infinite Health Pharmacy LLC
• Infinity Medical Equipment Group LLC

• Developmentally Disabled Services Day Training Agency in West Palm Beach, FL
• Providers in West Palm Beach, FL by specialty
• Developmentally Disabled Services Day Training Agency in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 17, 2023; 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.