Living Fully at Home, LLC

Primary specialty

Environmental Modification Occupational TherapistTaxonomy code 225XE0001X

Legal business name

LIVING FULLY AT HOME, LLC

Practice address

408 N Maple Ave
Oak Park, IL 60302-1810

Phone

(708) 524-9501

NPI assigned

May 10, 2019

Organization subpart

No

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

Authorized official

Name

Monika Inge Robinson, DROT, OTR/L

Title

Owner

Phone

(708) 497-5925

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1557446400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1557446400000",
    "number": "1659937126",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "408 N MAPLE AVE",
            "city": "OAK PARK",
            "state": "IL",
            "postal_code": "603021810",
            "telephone_number": "708-524-9501"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "408 N MAPLE AVE",
            "city": "OAK PARK",
            "state": "IL",
            "postal_code": "603021810",
            "telephone_number": "708-524-9501"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LIVING FULLY AT HOME, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-05-10",
        "last_updated": "2019-05-10",
        "status": "A",
        "authorized_official_last_name": "ROBINSON",
        "authorized_official_first_name": "MONIKA",
        "authorized_official_middle_name": "INGE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "708-497-5925",
        "authorized_official_credential": "DROT, OTR/L"
    },
    "taxonomies": [
        {
            "code": "225XE0001X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Occupational Therapist, Environmental Modification",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Occupational Therapist in Oak Park, IL
• Providers in Oak Park, IL by specialty
• Occupational Therapist in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 10, 2019; 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.