Independent Secure Living, Inc.

Primary specialty

Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X

Legal business name

INDEPENDENT SECURE LIVING, INC.

Practice address

1615 S Congress Ave
Suite 103
Delray Beach, FL 33445-6300

Phone

(561) 900-6327

Fax

(866) 618-6094

NPI assigned

Apr 9, 2015

Organization subpart

No

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

Authorized official

Name

Mr. Craig M. Bass

Title

Owner/President

Phone

(401) 318-0058

Specialties & licenses 2

Addresses

Locations

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

{
    "created_epoch": "1428537600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1428537600000",
    "number": "1942696612",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7431 W ATLANTIC AVE STE 34",
            "address_2": "SUITE 121",
            "city": "DELRAY BEACH",
            "state": "FL",
            "postal_code": "334463505",
            "telephone_number": "561-900-3627",
            "fax_number": "866-618-6094"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1615 S CONGRESS AVE",
            "address_2": "SUITE 103",
            "city": "DELRAY BEACH",
            "state": "FL",
            "postal_code": "334456300",
            "telephone_number": "561-900-6327",
            "fax_number": "866-618-6094"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "INDEPENDENT SECURE LIVING, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-04-09",
        "last_updated": "2015-04-09",
        "status": "A",
        "authorized_official_last_name": "BASS",
        "authorized_official_first_name": "CRAIG",
        "authorized_official_middle_name": "M.",
        "authorized_official_title_or_position": "OWNER/PRESIDENT",
        "authorized_official_telephone_number": "401-318-0058",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "332BC3200X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies, Customized Equipment",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 9, 2015; 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.