Provider Demographics
NPI:1568599884
Name:INDEPENDENT LIVING SOLUTIONS, LLC
Entity Type:Organization
Organization Name:INDEPENDENT LIVING SOLUTIONS, LLC
Other - Org Name:HOME HELPERS
Other - Org Type:Doing Business As
Authorized Official - Title/Position:GENERAL MANAGER
Authorized Official - Prefix:MR
Authorized Official - First Name:W.
Authorized Official - Middle Name:BRIAN
Authorized Official - Last Name:PEARSON
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:765-677-1670
Mailing Address - Street 1:4601 S WESTERN AVE
Mailing Address - Street 2:SUITE B
Mailing Address - City:MARION
Mailing Address - State:IN
Mailing Address - Zip Code:46953-5219
Mailing Address - Country:US
Mailing Address - Phone:765-677-1670
Mailing Address - Fax:765-677-1705
Practice Address - Street 1:4601 S WESTERN AVE
Practice Address - Street 2:SUITE B
Practice Address - City:MARION
Practice Address - State:IN
Practice Address - Zip Code:46953-5219
Practice Address - Country:US
Practice Address - Phone:765-677-1670
Practice Address - Fax:765-677-1705
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-02-27
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IN3747A0650X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes3747A0650XNursing Service Related ProvidersTechnicianAttendant Care ProviderGroup - Single Specialty