Type 2 · Organization ✓ Active NPI ✓ Valid NPI checksum

Independent Life Supportive Services

Mental Illness Community Based Residential Treatment Facility in Lake Orion, MI · enumerated 2007 · authorized official Brad Tankersley, Director of Operations.

Data current as of Jul 13, 2026 · sourced from CMS NPPES

National Provider Identifier

1417081167

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Registry record

Entity type Organization (Type 2)

Legal business name Independent Life Supportive Services

Practice address 2912 Ravine Dr, Apt 206, Lake Orion, MI, 48360

Phone (248) 391-2787

Enumeration date Mar 15, 2007

Last updated in NPPES Aug 22, 2020

Taxonomy & classification

320800000X Mental Illness Community Based Residential Treatment Facility Residential Treatment Facilities Primary

Authorized official

Name Brad Tankersley

Title Director of Operations

Phone (248) 391-2787

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes, even if the provider moves or changes specialty.

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Frequently asked questions

How current is this record?

Data comes from the CMS NPPES public dissemination file; this record was last updated in NPPES on 2020-08-22. Verify at npiregistry.cms.hhs.gov.

Where is Independent Life Supportive Services located?

The practice location on file with NPPES is in Lake Orion, MI.

Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2020-08-22.