INDEPENDENT LIFE LLC


Address: 4047 Ockeechobee Blvd., Ste 123, West Palm Beach, FL 33409-3236
Phone: 5613850868

INDEPENDENT LIFE LLC (NPI# 1023208972) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1023208972
Entity Type Organization
Organization Name INDEPENDENT LIFE LLC
Practice Address 4047 Ockeechobee Blvd.
Ste 123
West Palm Beach
FL 33409-3236
Practice Telephone 5613850868
Mailing Telephone 5613850868
Enumeration Date 2007-07-26
Last Update Date 2010-01-02
Authorized Official Name MRS. PRINCE E. GREEN (AUTHORIZED.REPRESENTATIVE)
Authorized Official Telephone 5613850868
Authorized Official Credential O.T
Is Organization Subpart N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 261QR0401X Clinic/Center
Specialization: Rehabilitation, Comprehensive Outpatient Rehabilitation Facility (CORF)
FL Ambulatory Health Care Facilities

Other Provider IDs and Locations

NPI Name Taxonomy Address Enumeration
1346684644 Independent Life LLC Home Health 4955 S Durango Dr, 164, Las Vegas, NV 89113-0152 2013-04-17

Office Location

Street Address 4047 OCKEECHOBEE BLVD.
STE 123
City WEST PALM BEACH
State FL
Zip Code 33409-3236

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1154928000 Gerard Joseph Valerius Jr. Behavior Technician 1818 S. Australian Ave, Suite 420, West Palm Beach, FL 33409 2020-10-05
1295342277 Stela Karkatselos Nurse Practitioner 2700 Palm Beach Lakes Blvd., West Palm Beach, FL 33409 2020-09-24
1831703974 Daylin Gonzalez Behavior Technician 1818 S.australian Ave, Suite 420, West Palm Beach, FL 33409 2020-09-05
1518582436 All-most Family, Inc In Home Supportive Care 4047 Okeechobee Blvd., Suite 110, West Palm Beach, FL 33409 2020-06-16
1750911285 Denisse Ramirez Technician, Other 1818 S. Australian Ave, Suite 420, West Palm Beach, FL 33409 2020-01-23
1558915009 Hess Massage and Fitness LLC. Massage Therapist 2090 Palm Beach Lakes Blvd #900, West Palm Beach, FL 33409 2019-08-01
1184195638 Tyrone Woods Developmental Therapist 4287 Lake Lucerne Circle, West Palm Beach, FL 33409 2018-12-10
1700352119 Julio Cesar Lugo Sr. Counselor 4100 Bear Lakes Ct. Building 14, Apt. #108, West Palm Beach, FL 33409 2018-10-23
1073009353 Kaitlyn Rose Green Physician Assistant 560 Village Blvd Suite #150, West Palm Beach, FL 33409 2018-07-10
1063901247 Dominique J Carn Technician, Other 42000 Community Dr, Apt 2211, West Palm Beach, FL 33409 2018-05-03
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Taxonomy Information

Taxonomy Code 261QR0401X
Grouping Ambulatory Health Care Facilities
Classification Clinic/Center
Specialization Rehabilitation, Comprehensive Outpatient Rehabilitation Facility (CORF)

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1306130281 Morselife Hospice Institute, Inc. Clinic/Center 4855 Fred Gladstone Dr, West Palm Beach, FL 33417 2011-06-08
1083791685 Berliant Enterprises, LLC. Clinic/Center 2541 Metrocentre Blvd Ste 4, West Palm Beach, FL 33407-3154 2006-11-01
1104964220 Sb Rehabilitation Inc Clinic/Center 1401 S Military Trl, Suite J1, West Palm Beach, FL 33415-5720 2007-02-01
1962500751 Beth Williams Dc Pa Clinic/Center 2328 S Congress Ave Ste 2e, West Palm Beach, FL 33406 2006-09-20

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1245750967 Semper Therapy Center Inc Clinic/Center 8500 Sw 8th Street, Suite 224, Miami, FL 33144 2017-06-23
1477089274 Sardonyx Group Therapy Inc Clinic/Center 4320 W Broward Blvd Ste 4, Plantation, FL 33317-3756 2017-05-11
1548637671 Lilypad Counseling Services Clinic/Center 9589 Verona Lakes Blvd, Boynton Beach, FL 33472-2759 2015-08-24
1144619610 Tnr Staffing, LLC Clinic/Center 6141 Lakae Worth Road, Lake Worth, FL 33463-3807 2015-01-21
1144562612 Jl X Ray Options, Inc Clinic/Center 10340 Nw 36th Ct, Miami, FL 33147-1036 2013-03-22
1609122639 Ariel Perez Clinic/Center 4070 Nw 5 St, Miami, FL 33126 2012-07-27
1942572805 Instituto Medico Del Dolor LLC Clinic/Center 717 Ponce De Leon Blvd Ste 218, Coral Gables, FL 33134-2048 2012-02-07
1902174683 Pulyterapia Spa Corp Clinic/Center 9369 Fountainbleau Blvd Apt J108, Miami, FL 33172-5629 2011-12-08
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Competitor

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City WEST PALM BEACH
Zip Code 33409

Improve Information

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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