Basic Information
Provider Information | |||||||||
NPI: | 1992035448 | ||||||||
EntityType: | 2 | ||||||||
ReplacementNPI: |   | ||||||||
OrganizationName: | ALWAYS PROMOTING INDEPENDENCE, LLC | ||||||||
LastName: |   | ||||||||
FirstName: |   | ||||||||
MiddleName: |   | ||||||||
NamePrefix: |   | ||||||||
NameSuffix: |   | ||||||||
Credential: |   | ||||||||
OtherOrganizationName: |   | ||||||||
OtherOrganizationType: |   | ||||||||
OtherLastName: |   | ||||||||
OtherFirstName: |   | ||||||||
OtherMiddleName: |   | ||||||||
OtherNamePrefix: |   | ||||||||
OtherNameSuffix: |   | ||||||||
OtherCredential: |   | ||||||||
OtherLastNameType: |   | ||||||||
Mailing Information | |||||||||
Address1: | PO BOX 2003 | ||||||||
Address2: |   | ||||||||
City: | PINELLAS PARK | ||||||||
State: | FL | ||||||||
PostalCode: | 337802003 | ||||||||
CountryCode: | US | ||||||||
TelephoneNumber: | 7275451273 | ||||||||
FaxNumber: | 8007138330 | ||||||||
Practice Location | |||||||||
Address1: | 5030 78TH AVE N STE 11 | ||||||||
Address2: |   | ||||||||
City: | PINELLAS PARK | ||||||||
State: | FL | ||||||||
PostalCode: | 337812406 | ||||||||
CountryCode: | US | ||||||||
TelephoneNumber: | 7275451273 | ||||||||
FaxNumber: | 8007138330 | ||||||||
Other Information | |||||||||
ProviderEnumerationDate: | 01/06/2010 | ||||||||
LastUpdateDate: | 02/18/2022 | ||||||||
NPIDeactivationReasonCode: |   | ||||||||
NPIDeactivationDate: |   | ||||||||
NPIReactivationDate: |   | ||||||||
ProviderGenderCode: |   | ||||||||
AuthorizedOfficialLastName: | PRIBBLE | ||||||||
AuthorizedOfficialFirstName: | DAR-LYN | ||||||||
AuthorizedOfficialMiddleName: | E | ||||||||
AuthorizedOfficialTitleorPosition: | PRESIDENT/OWNER | ||||||||
AuthorizedOfficialTelephone: | 7275451273 | ||||||||
IsSoleProprietor: |   | ||||||||
IsOrganizationSubpart: | N | ||||||||
ParentOrganizationLBN: |   | ||||||||
AuthorizedOfficialNamePrefix: | MISS | ||||||||
AuthorizedOfficialNameSuffix: |   | ||||||||
AuthorizedOfficialCredential: |   | ||||||||
NPICertificationDate: | 02/18/2022 |
Taxonomy Information
Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 103K00000X |   |   | N | 193400000X MULTIPLE SINGLE SPECIALTY GROUP | Behavioral Health & Social Service Providers | Behavioral Analyst |   | 106S00000X |   |   | N | 193400000X MULTIPLE SINGLE SPECIALTY GROUP |   |   |   | 251E00000X |   |   | N |   | Agencies | Home Health |   | 251S00000X |   |   | N |   | Agencies | Community/Behavioral Health |   | 253Z00000X |   |   | N |   | Agencies | In Home Supportive Care |   | 251C00000X |   |   | Y |   | Agencies | Day Training, Developmentally Disabled Services |   |
ID Information
ID | Type | State | Issuer | Description | 689600028 | 05 | FL |   | MEDICAID | 690680096 | 05 | FL |   | MEDICAID |