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NORTHEAST INDEPENDENT LIVING SERVICES
NPI 1457528085
Homemaker in Hannibal, MO

Active since May 13, 2008
4500 PARIS GRAVEL RD, HANNIBAL, MO 63401(573) 221-8282(573) 221-9445 Get Directions Write a Review

NPPES record last updated: March 8, 2023. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Northeast Independent Living Services NPPES

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

NORTHEAST INDEPENDENT LIVING SERVICES (NPI 1457528085) is a healthcare organization registered as a homemaker in Hannibal, Missouri and active in the NPI registry since May 2008. The organization lists Tara Fortner, Finance Director, as its authorized official.

NPPES Registry Identity

NPI1457528085
Entity TypeOrganization
Primary Taxonomy376J00000X
Legal Business NameNORTHEAST INDEPENDENT LIVING SERVICES
Location Address4500 PARIS GRAVEL RDHannibal, MO 63401-5422
Mailing Address4500 Paris Gravel RdHannibal, MO 63401-5422 · (573) 221-8282 · Fax (573) 221-9445
Phone(573) 221-8282
Fax(573) 221-9445
Organization SubpartNo
Authorized OfficialTara FortnerFinance Director · (573) 221-8282
Enumeration DateMay 13, 2008
Last NPPES UpdateMarch 8, 2023
NPPES CertifiedMarch 8, 2023
✔ NPI 1457528085 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 6

★ Primary SpecialtyHomemakerNursing Service Related Providers
Taxonomy Code376J00000X
Definition
An individual who provides general household activities such as meal preparation, laundry, and light housekeeping, when the individual regularly responsible for these activities is temporarily absent or unable to provide for himself. Homemakers must meet the state defined training standards.
Also ListedNursing CareTaxonomy 251J00000X
Also ListedSupports BrokerageTaxonomy 251X00000X
Also ListedIn Home Supportive CareTaxonomy 253Z00000X
Also ListedChore ProviderTaxonomy 372500000X
Also ListedRespite CareTaxonomy 385H00000X
4500 PARIS GRAVEL RD, Hannibal, MO 63401
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Other Identifiers 2

Medicaid266213701MO
Medicaid286213707MO

Other Providers at the Same Location NPPES 4

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

NORTHEAST INDEPENDENT LIVING SERVICES
Non-emergency Medical Transport (VAN)
4500 PARIS GRAVEL RD
HANNIBAL, MO 63401
Marion County (573) 221-8282
NORTHEAST INDEPENDENT LIVING SERVICES
Nursing Care
4500 PARIS GRAVEL RD
HANNIBAL, MO 63401
Marion County (573) 221-8282
NORTHEAST INDEPENDENT LIVING SERVICES
Technician (Personal Care Attendant)
4500 PARIS GRAVEL RD
HANNIBAL, MO 63401
Marion County (573) 221-8282
NEILS FMS
In Home Supportive Care
4500 PARIS GRAVEL RD
HANNIBAL, MO 63401
Marion County (573) 221-8282

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 Northeast Independent Living Services's NPI number?

The NPI number for Northeast Independent Living Services is 1457528085. It was assigned to this organization in the NPPES registry on May 13, 2008.

Where is Northeast Independent Living Services located?

Northeast Independent Living Services is located at 4500 Paris Gravel Rd, Hannibal, MO 63401. The listed phone number is (573) 221-8282.

What is Northeast Independent Living Services's specialty?

The primary specialty registered for this NPI is Homemaker with taxonomy code 376J00000X.

When was this NPI record last updated?

The NPPES record for Northeast Independent Living Services was last updated on March 8, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.