Organization Active NPI

Independent Living, Inc.

  • Assisted Living Facility
  • Madison, WI
National Provider Identifier
1205033438
Registry record updated Oct 27, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Assisted Living FacilityTaxonomy code 310400000X
Legal business name
INDEPENDENT LIVING, INC.
Doing business as
Segoe Gardens Assisted Living
Practice address
606 N Segoe Rd
Madison, WI 53705-3110
Phone
(608) 204-0900
NPI assigned
Jun 29, 2007
Organization subpart
Yes
Parent organization
INDEPENDENT LIVING, INC.As reported in NPPES

NPPES NPI Registry

Updated by the provider on Oct 27, 2011

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

Authorized official

Name
Rita Giovannoni
Title
Ceo
Phone
(608) 274-7900

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Assisted Living Facility 310400000X WI Primary

Addresses

Primary practice location

606 N Segoe Rd
Madison, WI 53705-3110

Mailing address

2970 Chapel Valley Rd
Suite 203
Madison, WI 53711-7424
Phone (608) 274-7900

Other identifiers 2

IdentifierTypeStateIssuer
0013225OtherWISTATE ISSUED REGISTRATION #
0009246OtherWISTATE ISSUED FACILITY #

Other names 1

  • Segoe Gardens Assisted Living Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Independent Living Inc3 organizations share this tax ID, including this one
Part of
Independent Living Inc

Other organizations with this tax ID 2

Organizations that report the same tax identification number in the National Provider Directory.

Ownership & related parties

Parent organization (reported in NPPES) 1

This organization reports itself as a subpart in NPPES; the parent’s legal name matches this organization in the same state.

NPI Registry JSON

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

{
    "created_epoch": "1183075200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1319673600000",
    "number": "1205033438",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2970 CHAPEL VALLEY RD",
            "address_2": "SUITE 203",
            "city": "MADISON",
            "state": "WI",
            "postal_code": "537117424",
            "telephone_number": "608-274-7900",
            "fax_number": "608-274-9181"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "606 N SEGOE RD",
            "city": "MADISON",
            "state": "WI",
            "postal_code": "537053110",
            "telephone_number": "608-204-0900"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "INDEPENDENT LIVING, INC.",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "INDEPENDENT LIVING, INC.",
        "enumeration_date": "2007-06-29",
        "last_updated": "2011-10-27",
        "status": "A",
        "authorized_official_last_name": "GIOVANNONI",
        "authorized_official_first_name": "RITA",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "608-274-7900"
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": "WI",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE ISSUED REGISTRATION #",
            "identifier": "0013225",
            "state": "WI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE ISSUED FACILITY #",
            "identifier": "0009246",
            "state": "WI"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Segoe Gardens Assisted Living",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Madison, WI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 27, 2011; 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.