Options for Independent Living

Primary specialty

In Home Supportive Care AgencyTaxonomy code 253Z00000X

License

100003331 Issued in WI

Legal business name

OPTIONS FOR INDEPENDENT LIVING

Practice address

555 Country Club Rd
Green Bay, WI 54313-4908

Phone

(920) 490-8270

Fax

(920) 490-0700

NPI assigned

Feb 17, 2010

Organization subpart

No

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

Authorized official

Name

Ms. Kathryn C Barry, M.A.

Title

Assistant Director

Phone

(920) 490-8270

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

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

{
    "created_epoch": "1266364800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1266364800000",
    "number": "1437471448",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "555 COUNTRY CLUB RD",
            "address_2": "PO BOX 11967",
            "city": "GREEN BAY",
            "state": "WI",
            "postal_code": "543134908",
            "telephone_number": "920-490-8270",
            "fax_number": "920-490-0700"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "555 COUNTRY CLUB RD",
            "city": "GREEN BAY",
            "state": "WI",
            "postal_code": "543134908",
            "telephone_number": "920-490-8270",
            "fax_number": "920-490-0700"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "OPTIONS FOR INDEPENDENT LIVING",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-02-17",
        "last_updated": "2010-02-17",
        "status": "A",
        "authorized_official_last_name": "BARRY",
        "authorized_official_first_name": "KATHRYN",
        "authorized_official_middle_name": "C",
        "authorized_official_title_or_position": "ASSISTANT DIRECTOR",
        "authorized_official_telephone_number": "920-490-8270",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "M.A."
    },
    "taxonomies": [
        {
            "code": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive Care",
            "state": "WI",
            "license": "100003331",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100003331",
            "state": "WI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Option 1 Transportation, Inc
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• Oral Health Associates, S.C.
• Orchid Enterprises
• Michael Dennis Oreilly, MD
• David Orr, PA-C

• In Home Supportive Care Agency in Green Bay, WI
• Providers in Green Bay, WI by specialty
• In Home Supportive Care Agency in Wisconsin

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 17, 2010; 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.