CENTER FOR INDEPENDENT LIVING, INC (NPI# 1023591310) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1023591310 |
| Entity Type | Organization |
| Organization Name | CENTER FOR INDEPENDENT LIVING, INC |
| Practice Address |
2490 Mariner Square Loop Suite 210 Alameda CA 84501 |
| Mailing Address |
Center for Independent Living Inc 2490 Mariner Squre Loop Suite 210 Alameda CA 94501 |
| Practice Telephone | 5108414776 |
| Practice Fax Number | 5104125096 |
| Mailing Telephone | 5108414776 |
| Mailing Fax Number | 5104125096 |
| Enumeration Date | 2018-09-12 |
| Last Update Date | 2018-09-12 |
| Authorized Official Name | MR. STUART JAMES (EXECUTIVE DIRECTOR) |
| Authorized Official Telephone | 5108414776 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 332B00000X | Durable Medical Equipment & Medical Supplies | Suppliers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1528327590 | Center for Independent Living, Inc | Community/Behavioral Health | 39350 Gallaudet Dr, Fremont, CA 94538-2308 | 2012-05-11 |
| 1114286689 | Center for Independent Living, Inc | Community/Behavioral Health | 3075 Adeline Street, Suite 100, Berkeley, CA 94703-2579 | 2012-05-03 |
| Street Address |
2490 MARINER SQUARE LOOP SUITE 210 |
| City | ALAMEDA |
| State | CA |
| Zip Code | 84501 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1699300079 | Kayleigh Maxfield | Case Manager/Care Coordinator | 77 S. 600 E., Price, UT 84501 | 2020-03-06 |
| 1174160071 | Kelli Fowles | Pharmacist | Smith's Food & Drug, 1075 E Main St, Price, UT 84501 | 2019-12-10 |
| 1225683733 | Zachary Kreek | Registered Nurse | 77 South 600 East Suite C, Price, UT 84501 | 2019-08-02 |
| 1578036547 | Boni Lee Taylor | Counselor | 445 North Carbonville Road, Price, UT 84501 | 2019-01-02 |
| 1023500360 | Dkmcomber Clinical Services | Nurse Practitioner | 590 E 100 N Ste 7, Price, UT 84501 | 2018-06-02 |
| 1326569245 | Castleview Physician Practice, LLC | Internal Medicine | 317 East 100 North, Price, UT 84501 | 2017-06-30 |
| 1255783874 | Cacilia Jensen | Case Manager/Care Coordinator | 105 W. 100 N., Price, UT 84501 | 2016-07-07 |
| 1801133905 | Joseph Micah Woodard | Counselor | 575 E. 100 S., Price, UT 84501 | 2013-01-09 |
| 1447513221 | Eugene Douglas Larsen Jr. | Internal Medicine | 280 N Hospital Dr Ste 4, Price, UT 84501 | 2012-06-18 |
| 1154629350 | Beaver Valley Hospital | Skilled Nursing Facility | 250 East 600 North, Price, UT 84501 | 2011-03-11 |
| Find all providers in zip 84501 | ||||
| Taxonomy Code | 332B00000X |
| Grouping | Suppliers |
| Classification | Durable Medical Equipment & Medical Supplies |
| A supplier of medical equipment such as respirators, wheelchairs, home dialysis systems, or monitoring systems, that are prescribed by a physician for a patient’s use in the home and that are usable for an extended period of time. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1225528169 | Bret Garvine | Durable Medical Equipment & Medical Supplies | 3248 Briggs Ave Apt B, Alameda, CA 94501-4848 | 2018-05-16 |
| 1639683329 | Abbot Diabetes Care Inc | Durable Medical Equipment & Medical Supplies | 1420 Harbor Bay Pkwy, Alameda, CA 94502-7080 | 2017-11-17 |
| 1790158715 | Hom Fong Enterprises | Durable Medical Equipment & Medical Supplies | 1413 Park St, Alameda, CA 94501-4509 | 2015-11-13 |
| 1508261520 | Safeway Inc | Durable Medical Equipment & Medical Supplies | 2600 5th St, Alameda, CA 94501-6550 | 2014-11-03 |
| 1114331279 | Walgreen Co | Durable Medical Equipment & Medical Supplies | 1600 Park St, Alameda, CA 94501-2921 | 2014-06-17 |
| 1205260072 | Garfield Beach Cvs LLC | Durable Medical Equipment & Medical Supplies | 2700 5th St, Alameda, CA 94501-6574 | 2013-08-28 |
| 1003114323 | Susan Miriam Levine | Durable Medical Equipment & Medical Supplies | 535 S Shore Ctr W, #121, Alameda, CA 94501-5725 | 2011-03-10 |
| 1851307508 | Walgreen Co | Durable Medical Equipment & Medical Supplies | 1916 Webster St, Alameda, CA 94501-2140 | 2006-08-01 |
| 1326053695 | Walgreen Co | Durable Medical Equipment & Medical Supplies | 2300 Otis Dr, Alameda, CA 94501-5722 | 2006-07-29 |
| 1619906633 | Safeway Inc | Durable Medical Equipment & Medical Supplies | 867 Island Dr, Alameda, CA 94502-6751 | 2006-07-02 |
| Find all providers in ALAMEDA | ||||
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| 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.