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Contact Information

INDEPENDENCE CARE SYSTEM, INC.
136 BUSHWICK AVE
BROOKLYN, NY11206
 Phone: 877-427-2525
 Fax: 212-584-5555
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Case Management

251B00000X
Indicates primary specialty

NPI Profile & details for INDEPENDENCE CARE SYSTEM, INC.

NPI Number 1316342603
LBN Legal business name INDEPENDENCE CARE SYSTEM, INC.
Authorized official KERRI O'NEILL - (CFO)
Entity Organization
Organization subpart 1 No
Enumeration date 10/29/2014
Last updated 04/22/2026 - About 1 months ago
Identifiers
NY Medicaid 05451574
1 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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