My Independence, Inc.

Primary specialty

Custodial Care FacilityTaxonomy code 311Z00000X

Legal business name

MY INDEPENDENCE, INC.

Practice address

22819 E Range
San Antonio, TX 78255-2139

Phone

(210) 698-9240

Fax

(210) 228-0144

NPI assigned

Dec 14, 2007

Last updated

Dec 14, 2007By 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

Ms. Sylvia Arriola

Title

President

Phone

(210) 698-9240

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1197590400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1197590400000",
    "number": "1588847396",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "22819 E RANGE",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782552139",
            "telephone_number": "210-698-9240",
            "fax_number": "210-228-0144"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "22819 E RANGE",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782552139",
            "telephone_number": "210-698-9240",
            "fax_number": "210-228-0144"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MY INDEPENDENCE, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-12-14",
        "last_updated": "2007-12-14",
        "status": "A",
        "authorized_official_last_name": "ARRIOLA",
        "authorized_official_first_name": "SYLVIA",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "210-698-9240",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "311Z00000X",
            "taxonomy_group": "",
            "desc": "Custodial Care Facility",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Custodial Care Facility in San Antonio, TX
• Providers in San Antonio, TX by specialty
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• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 14, 2007; 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.