Independent Quality Services Inc

Primary specialty

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

Legal business name

INDEPENDENT QUALITY SERVICES INC

Practice address

6152 Kingsessing Ave
Philadelphia, PA 19142-2426

Phone

(267) 449-9976

NPI assigned

Aug 24, 2015

Last updated

Aug 24, 2015By the provider in NPPES

Organization subpart

Yes

Parent organization

PARENT ORGANIZATIONAs reported in NPPES

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

Authorized official

Name

Mr. Alie Bombolai Bangura, N/A

Title

Deputy Ceo/Program Specialist

Phone

(267) 449-9976

Specialties & licenses 1

Addresses

Part of

Independent Quality Services Inc

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

{
    "created_epoch": "1440374400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1440374400000",
    "number": "1639546864",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6152 KINGSESSING AVE",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191422426",
            "telephone_number": "267-449-9976"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6152 KINGSESSING AVE",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191422426",
            "telephone_number": "267-449-9976"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "INDEPENDENT QUALITY SERVICES INC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "PARENT ORGANIZATION",
        "enumeration_date": "2015-08-24",
        "last_updated": "2015-08-24",
        "status": "A",
        "authorized_official_last_name": "BANGURA",
        "authorized_official_first_name": "ALIE",
        "authorized_official_middle_name": "BOMBOLAI",
        "authorized_official_title_or_position": "DEPUTY CEO/PROGRAM SPECIALIST",
        "authorized_official_telephone_number": "267-449-9976",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "N/A"
    },
    "taxonomies": [
        {
            "code": "320900000X",
            "taxonomy_group": "",
            "desc": "Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility in Philadelphia, PA
• Providers in Philadelphia, PA by specialty
• Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 24, 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.