NPIMap

Organization Active NPI

Living Independantly for Elders

  • Preferred Provider Organization
  • Phila, PA
National Provider Identifier
1730403445
Registry record updated Mar 24, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Preferred Provider OrganizationTaxonomy code 305R00000X
License
SP010396 Issued in PA
Legal business name
LIVING INDEPENDANTLY FOR ELDERS
Practice address
4508 Chestnut St
Phila, PA 19139-3608
Phone
(215) 746-6893
NPI assigned
Mar 24, 2010
Last updated
Mar 24, 2010By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 24, 2010

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

Authorized official

Name
Mary Austin
Title
Cno
Phone
(215) 746-6893

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Preferred Provider Organization 305R00000X SP010396 PA Primary

Addresses

Primary practice location

4508 Chestnut St
Phila, PA 19139-3608

Mailing address

4508 Chestnut St
Phila, PA 19139-3608
Phone (215) 746-6893

National Provider Directory

National Provider Directory
Tax ID family
Hup Dept Pathology la44 organizations share this tax ID, including this one

Other organizations with this tax ID 43

Organizations that report the same tax identification number in the National Provider Directory.

View all 43

NPI Registry JSON

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

{
    "created_epoch": "1269388800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1269388800000",
    "number": "1730403445",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4508 CHESTNUT ST",
            "city": "PHILA",
            "state": "PA",
            "postal_code": "191393608",
            "telephone_number": "215-746-6893"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4508 CHESTNUT ST",
            "city": "PHILA",
            "state": "PA",
            "postal_code": "191393608",
            "telephone_number": "215-746-6893"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LIVING INDEPENDANTLY FOR ELDERS",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-03-24",
        "last_updated": "2010-03-24",
        "status": "A",
        "authorized_official_last_name": "AUSTIN",
        "authorized_official_first_name": "MARY",
        "authorized_official_title_or_position": "CNO",
        "authorized_official_telephone_number": "215-746-6893"
    },
    "taxonomies": [
        {
            "code": "305R00000X",
            "taxonomy_group": "",
            "desc": "Preferred Provider Organization",
            "state": "PA",
            "license": "SP010396",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Phila, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 24, 2010; 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.