Organization Active NPI

Independence Care System, Inc.

  • Adult Day Care Clinic/Center
  • Brooklyn, NY
National Provider Identifier
1306786520
Registry record updated Apr 24, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Day Care Clinic/CenterTaxonomy code 261QA0600X
Legal business name
INDEPENDENCE CARE SYSTEM, INC.
Practice address
130 Bushwick Ave
Brooklyn, NY 11206-1604
Phone
(877) 427-2525
Fax
(212) 584-5555
NPI assigned
Mar 30, 2026
Organization subpart
Yes
Parent organization
INDEPENDENCE CARE SYSTEM, INC.As reported in NPPES

NPPES NPI Registry

Updated by the provider on Apr 24, 2026

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

Authorized official

Name
Kerri O'Neill
Title
Cfo
Phone
(646) 831-7215

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Adult Day Care Clinic/Center 261QA0600X Primary

Addresses

Primary practice location

130 Bushwick Ave
Brooklyn, NY 11206-1604

Mailing address

130 Bushwick Ave
Brooklyn, NY 11206-1604
Phone (877) 427-2525

Other identifiers 1

IdentifierTypeStateIssuer
01865329MedicaidNY

National Provider Directory

National Provider Directory
Tax ID family
Independence Care System Inc3 organizations share this tax ID, including this one
Part of
Independence Care System Inc

Other organizations with this tax ID 2

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

Locations

130 Bushwick Ave
Brooklyn, NY 11206
Phone (347) 401-8600

NPI Registry JSON

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

{
    "created_epoch": "1774828800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1776988800000",
    "number": "1306786520",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "130 BUSHWICK AVE",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112061604",
            "telephone_number": "877-427-2525",
            "fax_number": "212-584-5555"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "130 BUSHWICK AVE",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112061604",
            "telephone_number": "877-427-2525",
            "fax_number": "212-584-5555"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "INDEPENDENCE CARE SYSTEM, INC.",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "INDEPENDENCE CARE SYSTEM, INC.",
        "enumeration_date": "2026-03-30",
        "last_updated": "2026-04-24",
        "certification_date": "2026-04-24",
        "status": "A",
        "authorized_official_last_name": "O'NEILL",
        "authorized_official_first_name": "KERRI",
        "authorized_official_title_or_position": "CFO",
        "authorized_official_telephone_number": "646-831-7215"
    },
    "taxonomies": [
        {
            "code": "261QA0600X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adult Day Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "01865329",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Brooklyn, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 24, 2026; 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.