Provider Demographics
NPI:1235448630
Name:INDEPENDENT LIVING SOLUTIONS, LLC
Entity Type:Organization
Organization Name:INDEPENDENT LIVING SOLUTIONS, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER, OTR/L, CAPS
Authorized Official - Prefix:MRS
Authorized Official - First Name:KARA
Authorized Official - Middle Name:
Authorized Official - Last Name:BEAMISH
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:614-425-8767
Mailing Address - Street 1:5531 PENSWORTHY DR
Mailing Address - Street 2:
Mailing Address - City:DUBLIN
Mailing Address - State:OH
Mailing Address - Zip Code:43016-6096
Mailing Address - Country:US
Mailing Address - Phone:614-425-8767
Mailing Address - Fax:614-364-7468
Practice Address - Street 1:5531 PENSWORTHY DR
Practice Address - Street 2:
Practice Address - City:DUBLIN
Practice Address - State:OH
Practice Address - Zip Code:43016-6096
Practice Address - Country:US
Practice Address - Phone:614-425-8767
Practice Address - Fax:614-364-7468
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2010-10-02
Last Update Date:2010-10-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH6358251E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health