Functional Independence,Inc.

Primary specialty

Developmentally Disabled Services Day Training AgencyTaxonomy code 251C00000X

License

0000000610 Issued in TN

Legal business name

FUNCTIONAL INDEPENDENCE,INC.

Practice address

2502 Mount Moriah Rd Ste a-148
Memphis, TN 38115-1510

Phone

(901) 546-7660

Fax

(901) 546-7662

NPI assigned

Sep 28, 2006

Last updated

Aug 22, 2020By 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

Ms. Julie D Boles

Title

Ceo

Phone

(901) 546-7660

Specialties & licenses 1

Addresses

Tax ID family

Functional Independence Inc2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

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

• Functional Independence, Inc.

  • Home Health Agency
  • Memphis, TN
  • NPI 1497127146
  NPD tax ID

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Nachelle Lorraine Hubbard, PT

  • Physical Therapist
  • Collierville, TN
  • NPI 1902062367
  NPD

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

{
    "created_epoch": "1159401600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1811089824",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2502 MOUNT MORIAH RD STE A-148",
            "city": "MEMPHIS",
            "state": "TN",
            "postal_code": "381151510",
            "telephone_number": "901-546-7660",
            "fax_number": "901-546-7662"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2502 MOUNT MORIAH RD STE A-148",
            "city": "MEMPHIS",
            "state": "TN",
            "postal_code": "381151510",
            "telephone_number": "901-546-7660",
            "fax_number": "901-546-7662"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FUNCTIONAL INDEPENDENCE,INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-09-28",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "BOLES",
        "authorized_official_first_name": "JULIE",
        "authorized_official_middle_name": "D",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "901-546-7660",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "251C00000X",
            "taxonomy_group": "",
            "desc": "Day Training, Developmentally Disabled Services",
            "state": "TN",
            "license": "0000000610",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Stephen Parker Fulton, M.D.
• Zachary Everette Fulton
• Terrika Denise Fultz, REGISTERED NURSE
• Austin Blake Fulwood, PHARMD
• Functional Independence, Inc.
• Functionally Balanced Health
• Amy Elise Funderburk Mock, M.D.
• Wayne L Furman, MD
• Philip Marvin Furr, M.D.
• Sandy Furrh, LCSW

• Developmentally Disabled Services Day Training Agency in Memphis, TN
• Providers in Memphis, TN by specialty
• Developmentally Disabled Services Day Training Agency in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.