Provider Demographics
NPI:1235407313
Name:INDEPENDENT LIVING INNOVATIONS
Entity Type:Organization
Organization Name:INDEPENDENT LIVING INNOVATIONS
Other - Org Name:ILI
Other - Org Type:Other Name
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MRS
Authorized Official - First Name:CINDY
Authorized Official - Middle Name:LEE
Authorized Official - Last Name:TULIMIERI
Authorized Official - Suffix:
Authorized Official - Credentials:OTR/L
Authorized Official - Phone:617-877-4036
Mailing Address - Street 1:PO BOX 134
Mailing Address - Street 2:
Mailing Address - City:BEDFORD
Mailing Address - State:MA
Mailing Address - Zip Code:01730-0134
Mailing Address - Country:US
Mailing Address - Phone:617-877-4036
Mailing Address - Fax:781-583-5550
Practice Address - Street 1:3 PUTNAM RD
Practice Address - Street 2:
Practice Address - City:BEDFORD
Practice Address - State:MA
Practice Address - Zip Code:01730-1540
Practice Address - Country:US
Practice Address - Phone:617-877-4036
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2011-12-05
Last Update Date:2013-01-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA8186253Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes253Z00000XAgenciesIn Home Supportive Care