Independence & Comfort Living

Primary specialty

In Home Supportive Care AgencyTaxonomy code 253Z00000X

License

3743320 Issued in CA

Legal business name

INDEPENDENCE & COMFORT LIVING

Practice address

2360 Russell St
Tracy, CA 95376-8702

Phone

(415) 766-1544

NPI assigned

Jan 26, 2015

Last updated

Jan 26, 2015By 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

Hamza Mohamed Jama

Title

Treasurer

Phone

(415) 766-1544

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1422230400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1422230400000",
    "number": "1720478027",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2360 RUSSELL ST",
            "city": "TRACY",
            "state": "CA",
            "postal_code": "953768702",
            "telephone_number": "415-766-1544"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2360 RUSSELL ST",
            "city": "TRACY",
            "state": "CA",
            "postal_code": "953768702",
            "telephone_number": "415-766-1544"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "INDEPENDENCE & COMFORT LIVING",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-01-26",
        "last_updated": "2015-01-26",
        "status": "A",
        "authorized_official_last_name": "JAMA",
        "authorized_official_first_name": "HAMZA",
        "authorized_official_middle_name": "MOHAMED",
        "authorized_official_title_or_position": "TREASURER",
        "authorized_official_telephone_number": "415-766-1544"
    },
    "taxonomies": [
        {
            "code": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive Care",
            "state": "CA",
            "license": "3743320",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 26, 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.