NPIMap

Organization Active NPI

Independent Healing LLC

  • Adult Care Home Facility
  • Lillington, NC
National Provider Identifier
1225306731
Registry record updated Dec 12, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Care Home FacilityTaxonomy code 311ZA0620X
License
311ZA0620X Issued in NC
Legal business name
INDEPENDENT HEALING LLC
Practice address
811 S 12TH St
Lillington, NC 27546-6865
Phone
(866) 825-5057
NPI assigned
Dec 12, 2011
Last updated
Dec 12, 2011By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 12, 2011

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

Authorized official

Name
Mr. Edwin Ballard Smith Jr.NPI 1871862912
Title
Manager of Operations
Phone
(866) 825-5057

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Adult Care Home Facility 311ZA0620X 311ZA0620X NC Primary

Addresses

Primary practice location

811 S 12TH St
Lillington, NC 27546-6865

Mailing address

811 S 12TH St
Lillington, NC 27546-6865
Phone (866) 825-5057

National Provider Directory

National Provider Directory
Tax ID family
Independent Healing LLC3 organizations share this tax ID, including this one

Other organizations with this tax ID 2

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

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1323648000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1323648000000",
    "number": "1225306731",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "811 S 12TH ST",
            "city": "LILLINGTON",
            "state": "NC",
            "postal_code": "275466865",
            "telephone_number": "866-825-5057"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "811 S 12TH ST",
            "city": "LILLINGTON",
            "state": "NC",
            "postal_code": "275466865",
            "telephone_number": "866-825-5057"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "INDEPENDENT HEALING LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-12-12",
        "last_updated": "2011-12-12",
        "status": "A",
        "authorized_official_last_name": "SMITH",
        "authorized_official_first_name": "EDWIN",
        "authorized_official_middle_name": "BALLARD",
        "authorized_official_title_or_position": "MANAGER OF OPERATIONS",
        "authorized_official_telephone_number": "866-825-5057",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_name_suffix": "Jr."
    },
    "taxonomies": [
        {
            "code": "311ZA0620X",
            "taxonomy_group": "",
            "desc": "Custodial Care Facility, Adult Care Home",
            "state": "NC",
            "license": "311ZA0620X",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lillington, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 12, 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.