Active NPI
Independent Living, Inc.
- Assisted Living Facility
- Madison, WI
National Provider Identifier
1205033438
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Assisted Living Facility
- 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.
NPPES NPI Registry
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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0013225 | Other | WI | STATE ISSUED REGISTRATION # |
| 0009246 | Other | WI | STATE ISSUED FACILITY # |
Other names 1
- Segoe Gardens Assisted Living
National Provider Directory
National Provider Directory- Tax ID family
- Independent Living Inc
- 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.
-
- Durable Medical Equipment & Medical Supplies
- Madison, WI
- NPI 1053584136
-
- In Home Supportive Care Agency
- Madison, WI
- NPI 1437357415
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.
-
- Durable Medical Equipment & Medical Supplies
- Madison, WI
- NPI 1053584136
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.