Independent Living Services, Inc. (Ils)

Primary specialty

Intellectual and/or Developmental Disabilities Community Based Residential Treatment FacilityTaxonomy code 320900000X

License

94S218 Issued in IL

Legal business name

INDEPENDENT LIVING SERVICES, INC. (ILS)

Practice address

158 E Vienna St
Anna, IL 62906-1840

Phone

(618) 833-5070

Fax

(618) 833-4993

NPI assigned

May 20, 2008

Last updated

May 20, 2008By 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. James A. Keller

Title

Administrator/Owner

Phone

(618) 833-5070

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1211241600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1211241600000",
    "number": "1639336340",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "158 E VIENNA ST",
            "city": "ANNA",
            "state": "IL",
            "postal_code": "629061840",
            "telephone_number": "618-833-5070",
            "fax_number": "618-833-4993"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "158 E VIENNA ST",
            "city": "ANNA",
            "state": "IL",
            "postal_code": "629061840",
            "telephone_number": "618-833-5070",
            "fax_number": "618-833-4993"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "INDEPENDENT LIVING SERVICES, INC. (ILS)",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-05-20",
        "last_updated": "2008-05-20",
        "status": "A",
        "authorized_official_last_name": "KELLER",
        "authorized_official_first_name": "JAMES",
        "authorized_official_middle_name": "A.",
        "authorized_official_title_or_position": "ADMINISTRATOR/OWNER",
        "authorized_official_telephone_number": "618-833-5070",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "320900000X",
            "taxonomy_group": "",
            "desc": "Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities",
            "state": "IL",
            "license": "94S218",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jessica Kay Hutman
• Illinois Department of Human Services
• Illinois Department of Human Services (Clyde Choate Mental Health Developmental Center)
• Illinois Department of Human Services (Choate Mental Health & Developmental Center)
• Illinois Veterans Home at Anna
• Tara Lyn Jacobs
• Ronald J Johnson, MD
• Kassie L Jones, MSPAS
• Jr's Centre
• Tisha Kennedy, ADN,RBT

• Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility in Anna, IL
• Providers in Anna, IL by specialty
• Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 20, 2008; 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.