Access Center for Independent Living, Inc.

Primary specialty

Supports Brokerage AgencyTaxonomy code 251X00000X

Legal business name

ACCESS CENTER FOR INDEPENDENT LIVING, INC.

Practice address

901 S Ludlow St
Dayton, OH 45402-2614

Phone

(937) 341-5202

Fax

(937) 341-5217

NPI assigned

Sep 26, 2012

Last updated

Sep 26, 2012By 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

Mr. Alan R Cochrun

Title

Executive Director

Phone

(937) 341-5202

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1348617600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1348617600000",
    "number": "1447501796",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "901 S LUDLOW ST",
            "city": "DAYTON",
            "state": "OH",
            "postal_code": "454022614",
            "telephone_number": "937-341-5202",
            "fax_number": "937-341-5217"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "901 S LUDLOW ST",
            "city": "DAYTON",
            "state": "OH",
            "postal_code": "454022614",
            "telephone_number": "937-341-5202",
            "fax_number": "937-341-5217"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ACCESS CENTER FOR INDEPENDENT LIVING, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-09-26",
        "last_updated": "2012-09-26",
        "status": "A",
        "authorized_official_last_name": "COCHRUN",
        "authorized_official_first_name": "ALAN",
        "authorized_official_middle_name": "R",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "937-341-5202",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "251X00000X",
            "taxonomy_group": "",
            "desc": "Supports Brokerage",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Supports Brokerage Agency in Dayton, OH
• Providers in Dayton, OH by specialty
• Supports Brokerage Agency in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 26, 2012; 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.