INDEPENDENT LIVING CENTER OF SOUTHEAST MISSOURI
NPI 1295867521
In Home Supportive Care in Poplar Bluff, MO

Q: What is Independent Living Center Of Southeast Missouri's specialty?

The primary specialty registered for this NPI is In Home Supportive Care with taxonomy code 253Z00000X.

Active since March 12, 2007

511 CEDAR ST, POPLAR BLUFF, MO 63901(573) 686-2333(573) 686-1641 Get Directions Write a Review

NPPES record last updated: October 6, 2021. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Oct 6, 2021, Sep 14, 2021, Aug 22, 2020 (3 updates tracked since 2020).

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About Independent Living Center Of Southeast Missouri NPPES

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

INDEPENDENT LIVING CENTER OF SOUTHEAST MISSOURI (NPI 1295867521) is a healthcare organization registered as an in home supportive care in Poplar Bluff, Missouri and active in the NPI registry since March 2007. The organization lists Jennifer Brown, Executive Director, as its authorized official.

NPPES Registry Identity

NPI1295867521

Entity TypeOrganization

Primary Taxonomy253Z00000X

Legal Business NameINDEPENDENT LIVING CENTER OF SOUTHEAST MISSOURI

Location Address511 CEDAR STPoplar Bluff, MO 63901-7301

Mailing Address511 Cedar StPoplar Bluff, MO 63901-7301 · (573) 686-2333 · Fax (573) 686-1641

Phone(573) 686-2333

Fax(573) 686-1641

Organization SubpartNo

Authorized OfficialJennifer BrownExecutive Director · (573) 686-2333

Enumeration DateMarch 12, 2007

Last NPPES UpdateOctober 6, 20213 updates tracked since enumeration

NPPES CertifiedOctober 6, 2021

✔ NPI 1295867521 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyIn Home Supportive CareAgencies

Taxonomy Code253Z00000X

Definition

An In Home Supportive Care Agency provides services in the patient's home with the goal of enabling the patient to remain at home. The services provided may include personal care services such as hands-on assistance with activities of daily living (ADLs), e.g., eating, bathing, dressing, and bladder and bowel requirements; homemaker services and instrumental activities of daily living (IADLs), e.g., taking medications, shopping for groceries, laundry, housekeeping, and companionship; and/or supervision or cuing so that a person can perform tasks themselves.

Also ListedCase ManagementTaxonomy 251B00000X

511 CEDAR ST, Poplar Bluff, MO 63901

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Other Identifiers 1

Medicaid286211701MO

Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

INDEPENDENT LIVING CENTER OF SOUTHEAST MISSOURI, INC.

Case Management

511 CEDAR ST
POPLAR BLUFF, MO 63901

Butler County (573) 686-2333

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 Living Center Of Southeast Missouri's NPI number?

The NPI number for Independent Living Center Of Southeast Missouri is 1295867521. It was assigned to this organization in the NPPES registry on March 12, 2007.

Where is Independent Living Center Of Southeast Missouri located?

Independent Living Center Of Southeast Missouri is located at 511 Cedar St, Poplar Bluff, MO 63901. The listed phone number is (573) 686-2333.

What is Independent Living Center Of Southeast Missouri's specialty?

The primary specialty registered for this NPI is In Home Supportive Care with taxonomy code 253Z00000X.

When was this NPI record last updated?

The NPPES record for Independent Living Center Of Southeast Missouri was last updated on October 6, 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.