SUPPORTED INDEPENDENCE (NPI# 1528350808) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1528350808 |
| Entity Type | Organization |
| Organization Name | SUPPORTED INDEPENDENCE |
| Practice Address |
30 S Wacker Dr Suite 2200 Chicago IL 60606-7413 |
| Practice Telephone | 6306677370 |
| Practice Fax Number | 3124665601 |
| Mailing Telephone | 6306677370 |
| Mailing Fax Number | 3124665601 |
| Enumeration Date | 2011-05-05 |
| Last Update Date | 2011-05-05 |
| Authorized Official Name | MRS. JESSICA LUCKETT (PRESIDENT) |
| Authorized Official Telephone | 6306677370 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 343900000X | Non-emergency Medical Transport (VAN) | Transportation Services |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1649548405 | Supported Independence | Community/Behavioral Health | 17009 Elm Drive, Hazel Crest, IL 60429 | 2011-12-08 |
| 1467729137 | Supported Independence | Home Health | 17009 Elm Dr, Hazel Crest, IL 60429-1047 | 2011-11-24 |
| 1356633267 | Supported Independence | Private Vehicle | 30 S Wacker Dr, Suite 2200, Chicago, IL 60606-7413 | 2011-05-11 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| Oregon Corporations, Companies and Business Names | SUPPORTED INDEPENDENCE SERVICES OF OREGON, LLC | 255 Palomino Dr, Eugene, OR 97404 |
| Street Address |
30 S WACKER DR SUITE 2200 |
| City | CHICAGO |
| State | IL |
| Zip Code | 60606-7413 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1043459324 | Craig C. Mccall, Psy.d., P.C. | Psychologist | 30 S Wacker Dr, Suite 2200, Chicago, IL 60606-7413 | 2009-02-11 |
| 1114219037 | Suppported Independence | Community/Behavioral Health | 30 S Wacker Dr, Suite 2200, Chicago, IL 60606-7413 | 2011-05-11 |
| 1356633267 | Supported Independence | Private Vehicle | 30 S Wacker Dr, Suite 2200, Chicago, IL 60606-7413 | 2011-05-11 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1588286462 | James Topolski | Counselor | 150 S Wacker Driver, Ste 2400, Chicago, IL 60606 | 2020-05-13 |
| 1124500046 | R.c. & Associates LLC | Marriage & Family Therapist | 150 South Wacker Drive, #2400, Chicago, IL 60606 | 2018-09-06 |
| 1720581101 | Arch Angel Services | Counselor | 10 S. Riverside Plaza, Suite 875, Chicago, IL 60606 | 2018-03-13 |
| 1316453178 | Johanna Richter Nutrition & Wellness LLC | Dietitian, Registered | 211 W Wacker Dr Ste 230, Chicago, IL 60606 | 2017-12-15 |
| 1215466792 | Kelly Albers | Physical Therapist | 125 South Wacker Drive, 475, Chicago, IL 60606 | 2017-06-08 |
| 1336676923 | Villagemd Indiana, PC | Internal Medicine | 1 N Franklin St Ste 1205, Chicago, IL 60606 | 2017-05-15 |
| 1255880555 | Katie Marie Edwards-humpal | Nurse Practitioner | 225 W Washington 2floor, Chicago, IL 60606 | 2016-09-27 |
| 1922454255 | Revolution Physical Therapy Weight Loss | Clinic/Center | 205 N. Wells St., Chicago, IL 60606 | 2016-05-05 |
| 1558725101 | Robin Weber | Physical Therapy Assistant | 205 N. Wells Street, Chicago, IL 60606 | 2016-04-11 |
| 1427439041 | Kathleen Habschmidt | Physical Therapist | 1020 W Wacker Dr, Suite 205, Chicago, IL 60606 | 2015-06-10 |
| Find all providers in zip 60606 | ||||
| Taxonomy Code | 343900000X |
| Grouping | Transportation Services |
| Classification | Non-emergency Medical Transport (VAN) |
| A land vehicle with a capacity to meet special height, clearance, access, and seating, for the conveyance of persons in non-emergency situations. The vehicle may or may not be required to meet local county or state regulations. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1336767086 | Tawanna Henry | Non-emergency Medical Transport (VAN) | 1755 E 72nd Pl Apt 2, Chicago, IL 60649-2839 | 2020-07-09 |
| 1801412945 | Genesis Global Transportation LLC | Non-emergency Medical Transport (VAN) | 4655 S Lake Park Ave Apt 320, Chicago, IL 60653-4534 | 2020-06-24 |
| 1295357317 | Tru Hard Money | Non-emergency Medical Transport (VAN) | 8342 S Green St, Chicago, IL 60620-3160 | 2020-05-12 |
| 1588283170 | Hdj Transport Corporation | Non-emergency Medical Transport (VAN) | 823 N Hamlin Ave, Chicago, IL 60651-3825 | 2020-04-13 |
| 1043846058 | Devin Artyse Brown | Non-emergency Medical Transport (VAN) | 7600 S Hoyne Ave, Chicago, IL 60620-5737 | 2020-03-21 |
| 1316572365 | Kyle Joshua Blakely | Non-emergency Medical Transport (VAN) | 6036 S Green St Apt 2, Chicago, IL 60621-2169 | 2020-03-10 |
| 1104451293 | Bojakz Companies | Non-emergency Medical Transport (VAN) | 7326 S Wabash Ave, Chicago, IL 60619-1625 | 2020-03-09 |
| 1043841299 | Glenda Shorter | Non-emergency Medical Transport (VAN) | 4423 S Prairie Ave Apt G, Chicago, IL 60653-3202 | 2020-01-27 |
| 1699315812 | Kjr Depot Inc | Non-emergency Medical Transport (VAN) | 4740 W Fulton St, Chicago, IL 60644-2713 | 2020-01-15 |
| 1720624943 | Bianna Jones | Non-emergency Medical Transport (VAN) | 4637 W Adams St, Chicago, IL 60644-4632 | 2019-11-22 |
| Find all providers in CHICAGO | ||||
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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.