Supporting Independence Inc

Primary specialty

Home Health AgencyTaxonomy code 251E00000X

License

299993995 Issued in FL

Legal business name

SUPPORTING INDEPENDENCE INC

Practice address

2200 Lucien Way
Suite 175
Maitland, FL 32751-7007

Phone

(407) 434-0766

Fax

(407) 434-0766

NPI assigned

May 12, 2011

Last updated

Sep 21, 2015By 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. Chris Park

Title

Owner

Phone

(407) 434-0766

Specialties & licenses 2

Addresses

Locations

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

{
    "created_epoch": "1305158400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1442793600000",
    "number": "1558653204",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2200 LUCIEN WAY",
            "address_2": "SUITE 175",
            "city": "MAITLAND",
            "state": "FL",
            "postal_code": "32751",
            "telephone_number": "407-434-0766",
            "fax_number": "407-434-0766"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2200 LUCIEN WAY",
            "address_2": "SUITE 175",
            "city": "MAITLAND",
            "state": "FL",
            "postal_code": "327517007",
            "telephone_number": "407-434-0766",
            "fax_number": "407-434-0766"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SUPPORTING INDEPENDENCE INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-05-12",
        "last_updated": "2015-09-21",
        "status": "A",
        "authorized_official_last_name": "PARK",
        "authorized_official_first_name": "CHRIS",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "407-434-0766",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "FL",
            "license": "299993995",
            "primary": true
        },
        {
            "code": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive Care",
            "state": "FL",
            "license": "299993995",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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