INDEPENDENT SERVICE PROVIDER, LLC
NPI 1740959535
Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities in Harrisburg, PA

Active since September 07, 2021
3544 N PROGRESS AVE STE 205, HARRISBURG, PA 17110(717) 882-7892 Get Directions Write a Review

NPPES record last updated: September 7, 2021. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Independent Service Provider, Llc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

INDEPENDENT SERVICE PROVIDER, LLC (NPI 1740959535) is a healthcare organization registered as a community based residential treatment facility, intellectual and/or developmental disabilities in Harrisburg, Pennsylvania and active in the NPI registry since September 2021. The organization lists Tilak Niroula, Director, as its authorized official.

NPPES Registry Identity

NPI1740959535
Entity TypeOrganization
Primary Taxonomy320900000X
Legal Business NameINDEPENDENT SERVICE PROVIDER, LLC
Location Address3544 N PROGRESS AVE STE 205Harrisburg, PA 17110-9638
Mailing Address3544 N Progress Ave Ste 205Harrisburg, PA 17110-9638 · (717) 882-7892
Organization SubpartNo
Authorized OfficialTilak NiroulaDirector · (717) 882-7892
Enumeration DateSeptember 7, 2021
NPPES CertifiedSeptember 7, 2021
NPI 1740959535 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Taxonomy Code320900000X
Definition
A home-like residential facility providing habilitation, support and monitoring services to individuals diagnosed with mental retardation and/or developmental disabilities.
3544 N PROGRESS AVE STE 205, Harrisburg, PA 17110

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Independent Service Provider, LLC's NPI number?

The NPI number for Independent Service Provider, LLC is 1740959535. It was assigned to this organization in the NPPES registry on September 7, 2021.

Where is Independent Service Provider, LLC located?

Independent Service Provider, LLC is located at 3544 N Progress Ave Ste 205, Harrisburg, PA 17110. The listed phone number is (717) 882-7892.

What is Independent Service Provider, LLC's specialty?

The primary specialty registered for this NPI is Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities with taxonomy code 320900000X.

When was this NPI record last updated?

The NPPES record for Independent Service Provider, LLC was last updated on September 7, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.