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Contact Information

SUPPORTIVE INDEPENDENT LIVING CORP
31 MAIN ROAD
SUITE 9
RIVERHEAD, NY11901
 Phone: 631-369-6080
 Fax: 631-369-6085
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Home Health

251E00000X A4[11] Home Health Agency
Indicates primary specialty

NPI Profile & details for SUPPORTIVE INDEPENDENT LIVING CORP

NPI Number 1467664540
LBN Legal business name SUPPORTIVE INDEPENDENT LIVING CORP
Authorized official HELENE KORBIN - (OWNER)
Entity Organization
Organization subpart 1 No
Enumeration date 05/03/2007
Last updated 08/22/2020 - About 6 years ago
Identifiers n/a
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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