Independent Living Solutions

Primary specialty

Home Modifications ContractorTaxonomy code 171WH0202X

Legal business name

INDEPENDENT LIVING SOLUTIONS

Practice address

7714 Beech St NE
Fridley, MN 55432-2512

Phone

(612) 743-7373

Fax

(763) 571-5870

NPI assigned

Mar 9, 2016

Last updated

May 3, 2024By 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

Brent Megahan, CAPS

Title

President

Phone

(612) 743-7373

Specialties & licenses 3

Addresses

Locations

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

{
    "created_epoch": "1457481600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1714694400000",
    "number": "1659732360",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7714 BEECH ST NE",
            "city": "FRIDLEY",
            "state": "MN",
            "postal_code": "554322512",
            "telephone_number": "612-743-7373",
            "fax_number": "763-571-5870"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7714 BEECH ST NE",
            "city": "FRIDLEY",
            "state": "MN",
            "postal_code": "554322512",
            "telephone_number": "612-743-7373",
            "fax_number": "763-571-5870"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "INDEPENDENT LIVING SOLUTIONS",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-03-09",
        "last_updated": "2024-05-03",
        "certification_date": "2024-05-03",
        "status": "A",
        "authorized_official_last_name": "MEGAHAN",
        "authorized_official_first_name": "BRENT",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "612-743-7373",
        "authorized_official_credential": "CAPS"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "MN",
            "license": "BC630902",
            "primary": false
        },
        {
            "code": "332BC3200X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies, Customized Equipment",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "171WH0202X",
            "taxonomy_group": "",
            "desc": "Contractor, Home Modifications",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Home Modifications Contractor in Fridley, MN
• Providers in Fridley, MN by specialty
• Home Modifications Contractor in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 3, 2024; 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.