Healthcare Provider Details

I. General information

NPI: 1053498568
Provider Name (Legal Business Name): THE CENTER FOR INDEPENDENCE INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 11/01/2006
Last Update Date: 05/10/2011
Certification Date:
Deactivation Date: 12/20/2010
Reactivation Date: 05/10/2011

III. Provider practice location address

15750 LITTLE RANCH RD
SPRING HILL FL
34610
US

IV. Provider business mailing address

13910 FIVAY RD SUITE 8
HUDSON FL
34667
US

V. Phone/Fax

Practice location:
  • Phone: 727-861-5600
  • Fax: 727-861-5605
Mailing address:
  • Phone: 727-861-5600
  • Fax: 727-861-5605

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code310400000X
TaxonomyAssisted Living Facility
License NumberAL10730
License Number StateFL
# 2
Primary TaxonomyY
Taxonomy Code310400000X
TaxonomyAssisted Living Facility
License Number
License Number StateFL

VIII. Authorized Official

Name: MR. EMILE LAURINO
Title or Position: CEO
Credential:
Phone: 727-861-5600