Independent Living, Inc.

Primary specialty

Home Health AgencyTaxonomy code 251E00000X

Legal business name

INDEPENDENT LIVING, INC.

Practice address

5 Washington Ter
Newburgh, NY 12550-5338

Phone

(845) 565-1162

Fax

(845) 565-0567

NPI assigned

Apr 6, 2007

Organization subpart

No

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

Authorized official

Name

Ms. Rebecca Potter

Title

Comptroller

Phone

(845) 565-1162

Specialties & licenses 1

Addresses

Other identifiers 1

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

{
    "created_epoch": "1175817600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1210204800000",
    "number": "1922120252",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5 WASHINGTON TER",
            "city": "NEWBURGH",
            "state": "NY",
            "postal_code": "125505338",
            "telephone_number": "845-565-1162",
            "fax_number": "845-565-0567"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5 WASHINGTON TER",
            "city": "NEWBURGH",
            "state": "NY",
            "postal_code": "125505338",
            "telephone_number": "845-565-1162",
            "fax_number": "845-565-0567"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "INDEPENDENT LIVING, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-04-06",
        "last_updated": "2008-05-08",
        "status": "A",
        "authorized_official_last_name": "POTTER",
        "authorized_official_first_name": "REBECCA",
        "authorized_official_title_or_position": "COMPTROLLER",
        "authorized_official_telephone_number": "845-565-1162",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "01738930",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Home Health Agency in Newburgh, NY
• Providers in Newburgh, NY by specialty
• Home Health Agency in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 8, 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.