NPIMap

Organization Active NPI

Independence Therapy Services Inc

  • Assisted Living Facility
  • Fuquay Varina, NC
National Provider Identifier
1801955208
Registry record updated Feb 12, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Assisted Living FacilityTaxonomy code 310400000X
License
2347703 Issued in NC
Legal business name
INDEPENDENCE THERAPY SERVICES INC
Practice address
1221 Broad St
Fuquay Varina, NC 27526-3602
Phone
(919) 552-4580
NPI assigned
Dec 8, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 12, 2008

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

Authorized official

Name
David R Blust
Title
President
Phone
(828) 265-0309

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Assisted Living Facility 310400000X 2347703 NC Primary

Addresses

Primary practice location

1221 Broad St
Fuquay Varina, NC 27526-3602

Mailing address

638 George Wilson Rd
Boone, NC 28607-8613
Phone (828) 265-0309

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 18

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

View all 18

NPI Registry JSON

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

{
    "created_epoch": "1165536000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1202774400000",
    "number": "1801955208",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "638 GEORGE WILSON RD",
            "city": "BOONE",
            "state": "NC",
            "postal_code": "286078613",
            "telephone_number": "828-265-0309"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1221 BROAD ST",
            "city": "FUQUAY VARINA",
            "state": "NC",
            "postal_code": "275263602",
            "telephone_number": "919-552-4580"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "INDEPENDENCE THERAPY SERVICES INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-12-08",
        "last_updated": "2008-02-12",
        "status": "A",
        "authorized_official_last_name": "BLUST",
        "authorized_official_first_name": "DAVID",
        "authorized_official_middle_name": "R",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "828-265-0309"
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": "NC",
            "license": "2347703",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fuquay Varina, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 12, 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.