Independent Life Care Services Inc

Primary specialty

In Home Supportive Care AgencyTaxonomy code 253Z00000X

Legal business name

INDEPENDENT LIFE CARE SERVICES INC

Practice address

8800 Broadway St Ste 202
San Antonio, TX 78217-6335

Phone

(949) 933-6766

NPI assigned

Apr 21, 2017

Last updated

Apr 21, 2017By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dijon Averil Turner

Title

President

Phone

(949) 933-6766

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1492732800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1492732800000",
    "number": "1376078972",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8800 BROADWAY ST STE 202",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782176335",
            "telephone_number": "949-933-6766"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8800 BROADWAY ST STE 202",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782176335",
            "telephone_number": "949-933-6766"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "INDEPENDENT LIFE CARE SERVICES INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-04-21",
        "last_updated": "2017-04-21",
        "status": "A",
        "authorized_official_last_name": "TURNER",
        "authorized_official_first_name": "DIJON",
        "authorized_official_middle_name": "AVERIL",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "949-933-6766"
    },
    "taxonomies": [
        {
            "code": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• In Home Supportive Care Agency in San Antonio, TX
• Providers in San Antonio, TX by specialty
• In Home Supportive Care Agency in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 21, 2017; 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.