Independent Senior Supplies, Inc

Primary specialty

Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X

Legal business name

INDEPENDENT SENIOR SUPPLIES, INC

Doing business as

Independent Senior Supplies

Practice address

6826 Cherry Blossom Dr
Mentor, OH 44060-8429

Phone

(440) 290-8935

Fax

(440) 290-8967

NPI assigned

Mar 8, 2011

Organization subpart

No

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

Authorized official

Name

Mary Ellen Lowery

Title

President

Phone

(440) 290-8935

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Independent Senior Supplies Doing business as

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

{
    "created_epoch": "1299542400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1318809600000",
    "number": "1770881237",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6826 CHERRY BLOSSOM DR",
            "city": "MENTOR",
            "state": "OH",
            "postal_code": "440608429",
            "telephone_number": "440-290-8935",
            "fax_number": "440-290-8967"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6826 CHERRY BLOSSOM DR",
            "city": "MENTOR",
            "state": "OH",
            "postal_code": "440608429",
            "telephone_number": "440-290-8935",
            "fax_number": "440-290-8967"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "INDEPENDENT SENIOR SUPPLIES, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-03-08",
        "last_updated": "2011-10-17",
        "status": "A",
        "authorized_official_last_name": "LOWERY",
        "authorized_official_first_name": "MARY",
        "authorized_official_middle_name": "ELLEN",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "440-290-8935"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3133862",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Independent Senior Supplies",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Megan Hurley
• Michael Alexander Huston, LISW-S
• Hannah Hutton
• Meghan Lou Ilg, NP ADULT GERO
• Heather Imboden, PHARMD
• Tracy Infalvi
• Floreene T. Inghram, R.N.
• Insight Counseling and Wellness LLC
• Hayley Edythe Iosue, D.P.M.
• Mark Darius Iranpak

• Durable Medical Equipment & Medical Supplies in Mentor, OH
• Providers in Mentor, OH by specialty
• Durable Medical Equipment & Medical Supplies in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 17, 2011; 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.