Independent Living Association, Inc.

Primary specialty

Intellectual Disabilities Intermediate Care FacilityTaxonomy code 315P00000X

License

07645476 Issued in NY

Legal business name

INDEPENDENT LIVING ASSOCIATION, INC.

Practice address

110 York St FL 4
Brooklyn, NY 11201-1412

Phone

(718) 852-2000

Fax

(718) 852-6175

NPI assigned

Nov 9, 2015

Organization subpart

No

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

Authorized official

Name

Mr. Frank De Lucia, C.P.A.

Title

Deputy Exec. Dir. / Cfo

Phone

(718) 852-2000

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1447027200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1447027200000",
    "number": "1376916668",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "110 YORK ST FL 4",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112011412",
            "telephone_number": "718-852-2000",
            "fax_number": "718-852-6175"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "110 YORK ST FL 4",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112011412",
            "telephone_number": "718-852-2000",
            "fax_number": "718-852-6175"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "INDEPENDENT LIVING ASSOCIATION, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-11-09",
        "last_updated": "2015-11-09",
        "status": "A",
        "authorized_official_last_name": "DE LUCIA",
        "authorized_official_first_name": "FRANK",
        "authorized_official_title_or_position": "DEPUTY EXEC. DIR. / CFO",
        "authorized_official_telephone_number": "718-852-2000",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "C.P.A."
    },
    "taxonomies": [
        {
            "code": "315P00000X",
            "taxonomy_group": "",
            "desc": "Intermediate Care Facility, Intellectual Disabilities",
            "state": "NY",
            "license": "07645476",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Molly Inden, ARNP
• Anna Indenbaum, RPH
• Independence Care System, Inc.
• Independence Care System, Inc.
• Independence Care System, Inc.
• Independent Living Facilitators
• Independent PT Care PC
• Independent Success
• Judith Indich, CCC - SLP
• Naomi Indich, CPNP

• Intellectual Disabilities Intermediate Care Facility in Brooklyn, NY
• Providers in Brooklyn, NY by specialty
• Intellectual Disabilities Intermediate Care Facility in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 9, 2015; 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.