NPIMap

Organization Active NPI

Center for Independent Living Inc

  • Assisted Living Facility
  • Fort Pierce, FL
National Provider Identifier
1871771048
Registry record updated Feb 9, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Assisted Living FacilityTaxonomy code 310400000X
License
AL10026 Issued in FL
Legal business name
CENTER FOR INDEPENDENT LIVING INC
Practice address
4700 Buchanan Dr
Fort Pierce, FL 34982-7108
Phone
(772) 460-2108
Fax
(772) 466-0969
NPI assigned
Feb 9, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 9, 2008

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

Authorized official

Name
Donna Jean Iacona
Title
Adm
Phone
(772) 460-2108

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Assisted Living Facility 310400000X AL10026 FL Primary

Addresses

Primary practice location

4700 Buchanan Dr
Fort Pierce, FL 34982-7108

Mailing address

4700 Buchanan Dr
Fort Pierce, FL 34982-7108
Phone (772) 460-2108

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1202515200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1202515200000",
    "number": "1871771048",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4700 BUCHANAN DR",
            "city": "FORT PIERCE",
            "state": "FL",
            "postal_code": "349827108",
            "telephone_number": "772-460-2108",
            "fax_number": "772-466-0969"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4700 BUCHANAN DR",
            "city": "FORT PIERCE",
            "state": "FL",
            "postal_code": "349827108",
            "telephone_number": "772-460-2108",
            "fax_number": "772-466-0969"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CENTER FOR INDEPENDENT LIVING INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-02-09",
        "last_updated": "2008-02-09",
        "status": "A",
        "authorized_official_last_name": "IACONA",
        "authorized_official_first_name": "DONNA",
        "authorized_official_middle_name": "JEAN",
        "authorized_official_title_or_position": "ADM",
        "authorized_official_telephone_number": "772-460-2108"
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": "FL",
            "license": "AL10026",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fort Pierce, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 9, 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.