Organization Active NPI

Independent for Life

  • Exclusive Provider Organization
  • Cincinnati, OH
National Provider Identifier
1679748743
Registry record updated Apr 29, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Exclusive Provider OrganizationTaxonomy code 302F00000X
License
2429634 Issued in OH
Legal business name
INDEPENDENT FOR LIFE
Practice address
4301 Cappel Dr
Cincinnati, OH 45205-2023
Phone
(513) 344-9306
Fax
(513) 251-3522
NPI assigned
Apr 29, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 29, 2008

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

Authorized official

Name
Ms. Sharon L MC Cants
Title
Agant Owner
Phone
(513) 344-9306

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Exclusive Provider Organization 302F00000X 2429634 OH Primary

Addresses

Primary practice location

4301 Cappel Dr
Cincinnati, OH 45205-2023

Mailing address

4301 Cappel Dr
Cincinnati, OH 45205-2023
Phone (513) 344-9306

Other identifiers 1

IdentifierTypeStateIssuer
2429634OtherOHMEDICAID PIN ODJFS

Other names 1

  • Sharon Mc Cants Doing business as

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1209427200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1209427200000",
    "number": "1679748743",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4301 CAPPEL DR",
            "city": "CINCINNATI",
            "state": "OH",
            "postal_code": "452052023",
            "telephone_number": "513-344-9306",
            "fax_number": "513-251-3522"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4301 CAPPEL DR",
            "city": "CINCINNATI",
            "state": "OH",
            "postal_code": "452052023",
            "telephone_number": "513-344-9306",
            "fax_number": "513-251-3522"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "INDEPENDENT FOR LIFE",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-04-29",
        "last_updated": "2008-04-29",
        "status": "A",
        "authorized_official_last_name": "MC CANTS",
        "authorized_official_first_name": "SHARON",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "AGANT OWNER",
        "authorized_official_telephone_number": "513-344-9306",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "302F00000X",
            "taxonomy_group": "",
            "desc": "Exclusive Provider Organization",
            "state": "OH",
            "license": "2429634",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICAID  PIN ODJFS",
            "identifier": "2429634",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Sharon Mc Cants",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Cincinnati, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 29, 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.