NPI Database
Lookup NPI Numbers from the NPI Registry

Contact Information

INDEPENDENT LIVING CENTER OF SOUTHEAST MISSOURI, INC.
511 CEDAR ST
POPLAR BLUFF, MO63901-7301
 Phone: 573-686-2333
 Fax: 573-686-1641
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Case Management

251B00000X
 

In Home Supportive Care

253Z00000X
 

Nursing Care

251J00000X
Indicates primary specialty

NPI Profile & details for INDEPENDENT LIVING CENTER OF SOUTHEAST MISSOURI, INC.

NPI # 1720152077
LBN Legal business name INDEPENDENT LIVING CENTER OF SOUTHEAST MISSOURI, INC.
Authorized official JENNIFER BROWN - (EXECUTIVE DIRECTOR)
Entity Organization
Organization subpart 1 No
Enumeration date 11/20/2006
Last updated 09/14/2021 - About 5 years ago
Identifiers
MO Medicaid 266211705
MO Medicaid 276211703
1 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

Reviews for INDEPENDENT LIVING CENTER OF SOUTHEAST MISSOURI, INC.

Thanks - Your review has been submitted! Please note that if we find that this review has violated our terms or is simply deemed unacceptable, we will remove it without notice.

There are currently no reviews for INDEPENDENT LIVING CENTER OF SOUTHEAST MISSOURI, INC.
Be the first to post a comment or review.


Read our reviews / comments about this provider to help you decide if they are right for you. Share your experience by posting a comment or review about this provider to help others decide which is right for them.

Nearby Agencies
SOUTHERN CARE AND COMFORT IN HOME AGENCY, LLC
120 N BROADWAY
POPLAR BLUFF, MO
ABILITY IN-HOME CARE
2773 BARRON ROAD
POPLAR BLUFF, MO
J & S STEWART INC
24080 STATE HWY 51
PUXICO, MO
CLEARWATER IN-HOME CARE, INC.
1525 BUSINESS HIGHWAY 60
DEXTER, MO
AMAZING IN HOME SERVICES, LLC
106 LAFAYETTE STREET
DONIPHAN, MO
SAGE CREEK LLC
101 N MADISON
MALDEN, MO
MELISSA M LANE, CPS
616 N HOUSTON ST
ADRIAN, MO
CITY OF ADRIAN - ADRIAN MANOR HEALTH AND REHAB
402 W 1ST ST
ADRIAN, MO
CHRISTINE L BOHANNON
BOX 64 303 W MAIN ST
ADRIAN, MO
HANNAH R BARTLETT
57 E MAIN ST
ADRIAN, MO

  View all Agencies
v2.403