CENTER FOR INDEPENDENT LIVING (NPI# 1336459593) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1336459593 |
| Entity Type | Organization |
| Organization Name | CENTER FOR INDEPENDENT LIVING |
| Practice Address |
3075 Adeline Street Suite 110 Berkeley CA 94703 |
| Practice Telephone | 5108414776 |
| Practice Fax Number | 5108416168 |
| Mailing Telephone | 5108414776 |
| Mailing Fax Number | 5108416168 |
| Enumeration Date | 2010-10-20 |
| Last Update Date | 2010-10-20 |
| Authorized Official Name | YOMI WRONG (EXECUTIVE DIRECTOR) |
| Authorized Official Telephone | 5108414776 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 251B00000X | Case Management | Agencies | ||
| Y | 251V00000X | Voluntary or Charitable | Agencies |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1700108800 | Center for Independent Living | Durable Medical Equipment & Medical Supplies | 2539 Telegraph Ave, Berkeley, CA 94704-2917 | 2010-02-17 |
| 1043346422 | Center for Independent Living | Day Training, Developmentally Disabled Services | 209 Cole St, Sanford, NC 27330-4264 | 2007-02-27 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| System for Award Management (SAM) Entities | CENTER FOR INDEPENDENT LIVING | Wheatley Shopping Center II Unit 7, St Thomas, VI 00803-0000 |
| Virginia Business Entities | CENTER FOR INDEPENDENT LIVING | 12035 Sugarland Valley Dr, Herndon, Virginia 20170 |
| Massachusetts Corporations | CENTER FOR INDEPENDENT LIVING | 12035 Sugarland Valley Dr., Herndon, VA 22070 |
| System for Award Management (SAM) Entities | CENTER FOR INDEPENDENT LIVING FOR PALM BEACH | 2751 S Dixie Hwy, West Palm Beach, FL 33405-1233 |
| System for Award Management (SAM) Entities | CENTER FOR INDEPENDENT LIVING FOR WESTERN WISCONSIN | 2920 Schneider Ave Se, Menomonie, WI 54751-2331 |
| System for Award Management (SAM) Entities | CENTER FOR INDEPENDENT LIVING OF SOUTH CENTRAL PENNSYLVANIA | 2900 Beale Ave Ste 118, Altoona, PA 16601-1710 |
| System for Award Management (SAM) Entities | CENTER FOR INDEPENDENT LIVING OF SOUTH JERSEY, INC | 1150 Delsea Dr Ste 1, Westville, NJ 08093-2251 |
| System for Award Management (SAM) Entities | CENTER FOR INDEPENDENT LIVING OF THE KEYS | 103400 Overseas Hwy Ste 243, Key Largo, FL 33037-2849 |
| System for Award Management (SAM) Entities | CENTER FOR INDEPENDENT LIVING OPTIONS | 2031 Auburn Ave, Cincinnati, OH 45219-3024 |
| Street Address |
3075 ADELINE STREET SUITE 110 |
| City | BERKELEY |
| State | CA |
| Zip Code | 94703 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1114286689 | Center for Independent Living, Inc | Community/Behavioral Health | 3075 Adeline Street, Suite 100, Berkeley, CA 94703-2579 | 2012-05-03 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1811553621 | Brittney Jerrilena Monique Garrett | Behavioral Analyst | 1901 Stuart St, Berkeley, CA 94703 | 2019-05-16 |
| 1740762178 | Maryam Jabbari Amiri | Student in an Organized Health Care Education/Training Program | 3075 Adeline Street, Suite 120, Berkeley, CA 94703 | 2018-09-01 |
| 1619427549 | Sigal Gafni | Occupational Therapist | 1622 Parker St. Apt. 1, Berkeley, CA 94703 | 2016-10-04 |
| 1750741138 | Ane Becker | Community Health Worker | 2026 Woolsey St, Berkeley, CA 94703 | 2016-02-29 |
| 1245697135 | Sara Dinome Teel Vargas | Chiropractor | 3286 Adeline St., Suite 9, Berkeley, CA 94703 | 2016-01-22 |
| 1083081608 | Olivia Debree | Nurse Practitioner | 3075 Adeline Street, Suite 280, Lifelong Medical Care, Ashby Health Center, Berkeley, CA 94703 | 2015-08-31 |
| 1962885988 | Caro Grosvenor | Marriage & Family Therapist | 1511 Ada Street, Berkeley, CA 94703 | 2015-07-08 |
| 1619378452 | Myles Malone | Counselor | 2413 Jefferson Ave., Berkeley, CA 94703 | 2014-09-11 |
| 1013340223 | Denise Daniel | Acupuncturist | 6222 La Salle Ave Suite B, Oakland, CA 94703 | 2013-08-12 |
| 1104126200 | Iramis Kouromenos | Dental Hygienist | 1721 University Ave Apt#209, Berkeley, CA 94703 | 2010-10-25 |
| Find all providers in zip 94703 | ||||
| Taxonomy Code | 251V00000X |
| Grouping | Agencies |
| Classification | Voluntary or Charitable |
| Definition to come... |
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| 1144663139 | Clinical Research Institute, Inc. | Voluntary or Charitable | 5646 Saint Charles Rd, Suite C, Berkeley, IL 60163-1148 | 2013-04-10 |
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| Find all providers with the same taxonomy | ||||
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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.