INDEPENDENT COMMUNITY LIVING (NPI# 1760735260) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1760735260 |
| Entity Type | Organization |
| Organization Name | INDEPENDENT COMMUNITY LIVING |
| Practice Address |
5630 N Easy St Sanford MI 48657-9310 |
| Practice Telephone | 9896151915 |
| Enumeration Date | 2012-10-21 |
| Last Update Date | 2012-10-21 |
| Authorized Official Name | MS. SARAH KEPLER (CHEIF EXECUTIVE OFFICER) |
| Authorized Official Telephone | 9896151915 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 251E00000X | Home Health | Agencies |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| Oregon Corporations, Companies and Business Names | INDEPENDENT COMMUNITY LIVING SUPPORTS LLC | 735 Riverside Drive, Klamath Falls, OR 97601 |
| System for Award Management (SAM) Entities | INDEPENDENT COMMUNITY LIVING, LLC | 600 W Fullerton Pkwy, Chicago, IL 60614-2614 |
| Street Address |
5630 N EASY ST |
| City | SANFORD |
| State | MI |
| Zip Code | 48657-9310 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1528202561 | Heidi Deborah Krenzke | Massage Therapist | 474 Taylor Dr., Sanford, MI 48657 | 2009-04-21 |
| 1356306641 | Michael Dale Bowen | Dentist | 292 E Saginaw Rd, Sanford, MI 48657 | 2006-04-19 |
| 1861827081 | Tina Lynn Kopka | Occupational Therapist | 896 W Lake Forest Dr, Sanford, MI 48657-9126 | 2013-09-06 |
| 1013043413 | Srisai Rx Mart LLC | Pharmacy | 28 W Saginaw Rd, Sanford, MI 48657-9206 | 2007-02-27 |
| 1609864164 | Jennifer Lynn Dear | Family Medicine | 40 W Saginaw Rd, Sanford, MI 48657-9206 | 2005-10-10 |
| 1902234255 | Elizabeth Eva Wright | Physician Assistant | 40 W Saginaw Rd, Sanford, MI 48657-9206 | 2013-10-24 |
| 1619229663 | Midmichigan Medical Center Clare | Clinic/Center | 40 W Saginaw Rd, Sanford, MI 48657-9206 | 2012-10-15 |
| 1265535272 | Tammy Phillips | Family Medicine | 40 W Saginaw Rd, Sanford, MI 48657-9206 | 2006-09-06 |
| 1740621606 | Michael D Bowen Dds PC | Dentist | 292 E Saginaw Rd, Sanford, MI 48657-9220 | 2013-07-08 |
| 1780020057 | Christina M Behring | Dentist | 292 E Saginaw Rd, Sanford, MI 48657-9220 | 2013-05-14 |
| Find all providers in zip 48657 | ||||
| Taxonomy Code | 251E00000X |
| Grouping | Agencies |
| Classification | Home Health |
| A public agency or private organization, or a subdivision of such an agency or organization, that is primarily engaged in providing skilled nursing services and other therapeutic services, such as physical therapy, speech-language pathology services, or occupational therapy, medical social services, and home health aide services. It has policies established by a professional group associated with the agency or organization (including at least one physician and one registered nurse) to govern the services and provides for supervision of such services by a physician or a registered nurse; maintains clinical records on all patients; is licensed in accordance with State or local law or is approved by the State or local licensing agency as meeting the licensing standards, where applicable; and meets other conditions found by the Secretary of Health and Human Services to be necessary for health and safety. |
| Notes: Source: CFR42 Chapter IV Part 484, http://www.access.gpo.gov/nara/cfr/waisidx_99/42cfr484_99.html [7/1/2007: definition added, source added] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1518565472 | Taylor-made Home Companion Care LLC | Home Health | 3746 Saltmarsh Loop, Sanford, FL 32773-7092 | 2020-10-13 |
| 1871026260 | Good Spirits | Home Health | 424 Morning Star Dr, Sanford, NC 27330-6956 | 2017-04-04 |
| 1437522174 | We Care Home Care | Home Health | 38 Brook St Apt A, Sanford, ME 04073 | 2015-11-03 |
| 1245626316 | Great Bay Services | Home Health | 61 Washington St Ste 4, Sanford, ME 04073-3093 | 2015-04-15 |
| 1164866711 | Seminole Support Services | Home Health | 504 S Sanford Ave, Sanford, FL 32771-1973 | 2013-04-25 |
| 1023357183 | Seminole Health Care LLC | Home Health | 120 Lexington Green Ln, Sanford, FL 32771-1025 | 2013-02-11 |
| 1770859852 | Legacy Health Care | Home Health | 305 W Williams St, Sanford, NC 27332-6047 | 2012-03-22 |
| 1750515797 | Gentle Touch Home Care | Home Health | 703 S Horner Blvd Ste D, Sanford, NC 27330-4870 | 2009-05-05 |
| 1730320086 | Pelham Home Health Services, Inc. | Home Health | 2501 Fayetteville St, Sanford, NC 27332-5910 | 2009-03-17 |
| 1841329513 | K and L Therapy Inc. | Home Health | 308 Casa Marina Pl, Sanford, FL 32771-5228 | 2007-03-05 |
| Find all providers in SANFORD | ||||
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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.