INDEPENDENT SERVICE PROVIDER, LLC – NPI #1740959535
Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities

A home-like residential facility providing habilitation, support and monitoring services to individuals diagnosed with intellectual and/or developmental disabilities.

Health Care Provider Taxonomy Code for Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities

INDEPENDENT SERVICE PROVIDER, LLC is a community based residential treatment facility located in HARRISBURG, PA. NPPES has assigned the NPI number 1740959535 to INDEPENDENT SERVICE PROVIDER, LLC on September 07, 2021. It is a Type-2 NPI, indicating this NPI number is associated with an organization. The primary taxonomy selected by this provider is 320900000X from the Health Care Provider Taxonomy code set, which is classified as Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities.

Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for INDEPENDENT SERVICE PROVIDER, LLC below.

NPI Profile for
INDEPENDENT SERVICE PROVIDER, LLC

NPI Number
1740959535
Enumeration Date

(about 5 years ago)
Entity Type
Type-2  Organization
Organization health care providers may have a single employee or thousands of employees. An example is an incorporated individual who is an organization's only employee.
Legal Name
INDEPENDENT SERVICE PROVIDER, LLC
Primary location
3544 N PROGRESS AVE STE 205
HARRISBURG, PA 17110-9638
Phone: (717) 882-7892 Fax:
Mailing address
Same as primary location
Organization Subpart
No
Authorized Official
TILAK NIROULA
DIRECTOR
Phone: (717) 882-7892
Updated
Certification Date
Sep 07, 2021

Note: NPPES allows providers to attest to the accuracy of their NPI data. When a provider request any change to the NPI record, they will be able to attest to their changed NPI data, resulting in an updated certification date.

Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

Taxonomy Classification / Specialization State License
320900000X
- Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities (Primary)

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.

Endpoint

Health Information Exchange (HEI)

HEI is the mobilization of health care information electronically across organizations within a region, community or hospital system. Endpoints provide a simple and secure way for participants to send authenticated, encrypted health information directly to known, trusted recipients over the internet such as primary care physicians, specialists, hospitals, labs, etc.

Endpoint
insepr.com
Endpoint type
Other URL
Endpoint Description
DOMAIN
Content Type
CSV
Affiliation
N
Endpoint Location
3544 N PROGRESS AVE STE 205,
HARRISBURG, PA 77025-1669