MEDICARE: SUPPORT FOR INDEPENDENT LIVING, LLC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy
1	251T00000X	PACE Provider Organization
2	253Z00000X	In Home Supportive Care Agency
3	251E00000X	Home Health Agency

General Provider Information

NPI Number	:	1073802013
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	SUPPORT FOR INDEPENDENT LIVING, LLC

Provider Business Mailing Address
First Line	:	2320 HAVERFORD RD
Second Line	:	SUITE 220
City	:	ARDMORE
State	:	PA
Zip	:	19003-2913
Country	:	US
Telephone Number	:	610-649-3148
Fax Number	:	610-649-3923

Provider Business Practice Location Address
First Line	:	2320 HAVERFORD RD
Second Line	:	SUITE 220
City	:	ARDMORE
State	:	PA
Zip	:	19003-2913
Country	:	US
Telephone Number	:	610-649-3148
Fax Number	:	610-649-3148

Authorized Official
Title or Position	:	EXECUTIVE DIRECTOR
Name	:	DAISY ANGLIN
Credential	:	MBA
Telephone Number	:	610-649-3148

Provider Enumeration Date	:	03/30/2011
Last Update Date	:	08/26/2015

Similar Medicare Providers

1114594561 — DALTON EMERSON WEST PT
Practice Location Address:

26448 MAIN ST
ARDMORE, TN
38449-2913

Practice Phone: 931-427-6030
Practice Fax:

1740910678 — RESULTS-AST JV, LLC
Practice Location Address:

26448 MAIN ST
ARDMORE, TN
38449-2913

Practice Phone: 931-427-6030
Practice Fax: 931-427-6031

1427778240 — OLIVIA CHRISTINE RATHGEB PT, DPT
Practice Location Address:

26448 MAIN ST
ARDMORE, TN
38449-2913

Practice Phone: 931-427-6030
Practice Fax:

1073509675 — JAMES R HALL O.D.
Practice Location Address:

11 W LANCASTER AVE
ARDMORE, PA
19003-1417

Practice Phone: 610-642-2151
Practice Fax: 610-642-2190

1417943978 — DR. RICHARD B COHEN DPM
Practice Location Address:

119 COULTER AVE
ARDMORE, PA
19003-2427

Practice Phone: 610-649-6614
Practice Fax:

1518954171 — MS. DARLENE MARIE DIGORIO-HEVNER LCSW
Practice Location Address:

326 W LANCASTER AVE , SUITE 211
ARDMORE, PA
19003-1228

Practice Phone: 484-868-0479
Practice Fax: 610-889-4839

Directions to “SUPPORT FOR INDEPENDENT LIVING, LLC ” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.