NORTHEAST INDEPENDENT LIVING SERVICES
NPI 1457528085
Homemaker in Hannibal, MO

NPI Status: Active since May 13, 2008

Contact Information

4500 PARIS GRAVEL RD
HANNIBAL, MO
ZIP 63401
Phone: (573) 221-8282
Fax: (573) 221-9445

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  • Organization
  • Homemaker

About NORTHEAST INDEPENDENT LIVING SERVICES

This page provides the complete NPI Profile along with additional information for Northeast Independent Living Services, a provider established in Hannibal, Missouri operating as a Homemaker. The healthcare provider is registered in the NPI registry with number 1457528085 assigned on May 2008. The practitioner's primary taxonomy code is 376J00000X. The provider is registered as an organization and their NPI record was last updated 3 years ago. The authorized official of this NPI record is Tara Fortner (Finance Director)

NPI
1457528085
Provider Name
NORTHEAST INDEPENDENT LIVING SERVICES
Entity Type
Organization
Location Address
4500 PARIS GRAVEL RD HANNIBAL, MO 63401
Location Phone
(573) 221-8282
Location Fax
(573) 221-9445
Mailing Address
4500 PARIS GRAVEL RD HANNIBAL, MO 63401
Mailing Phone
(573) 221-8282
Mailing Fax
(573) 221-9445
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
05-13-2008
Last Update Date
03-08-2023
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Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Homemaker

Taxonomy Code
376J00000X
Type
Nursing Service Related Providers
Taxonomy Description
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.

Secondary Taxonomies

The provider has reported to the NPI enumerator additional taxonomy codes. Multiple taxonomy codes may represent subspecialties or other areas of specialization the provider maybe licensed to practice.

No. Taxonomy Code Type Classification /
Specialization
License No. (State)
1251J00000XAgencies

Nursing Care

 
2251X00000XAgencies

Supports Brokerage

 
3253Z00000XAgencies

In Home Supportive Care

 
4372500000XNursing Service Related Providers

Chore Provider

 
5385H00000XRespite Care Facility

Respite Care

 

Insurance Plans Accepted

According to publicly available information the provider might be accepting the following health plans from these health insurance companies:

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

*Please verify directly with this provider to make sure your insurance plan is currently accepted.

Authorized Official

The authorized official is the designated individual with the legal authority to make changes to the provider’s official NPI record. For organizations, the authorized official must be a general partner, chairman of the board, CEO, CFO or a direct owner holding at least a 5 percent stake in the medical organization.

Authorized Official Name

TARA FORTNER

Authorized Official Title
FINANCE DIRECTOR
Authorized Official Phone
(573) 221-8282

Additional Identifiers

The NPI Enumerator encourages providers to submit additional identifiers with their NPI application although the submission of this information is optional. The additional identifier(s) section includes other numbers or codes currently or formerly used as an identifier for the provider by other public healthcare entities. The identifiers may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.

Identifier Type / Code Identifier State Identifier Issuer
266213701MEDICAID (05)MO 
286213707MEDICAID (05)MO 

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NPI NPI Number Validation

How NPI Validation Works

The NPI validation process uses the ISO-standard Luhn algorithm, a mathematical "handshake", to ensure that a provider's 10-digit ID is authentic and free of common typing errors.

To verify the NPI 1457528085, we treat the final digit (5) as the Check Digit—the target answer we need to reach. The process begins by taking the first nine digits and adding a constant value of 24, which accounts for the "80840" prefix required for all U.S. health identifiers. We then double every other digit starting from the right and sum the individual digits of those results together. For this specific NPI, that total comes to 55. The final step is to find the difference between that total and the next multiple of ten (60 - 55 = 5).

Digit-by-digit view

Use the first nine digits for the calculation. Starting from the right, double every other digit. The last digit is the check digit and is not part of the calculation.

Pos 1
1
Doubled → 2
Pos 2
4
Unchanged
Pos 3
5
Doubled → 10 → 1 + 0
Pos 4
7
Unchanged
Pos 5
5
Doubled → 10 → 1 + 0
Pos 6
2
Unchanged
Pos 7
8
Doubled → 16 → 1 + 6
Pos 8
0
Unchanged
Pos 9
8
Doubled → 16 → 1 + 6
Check
5
Target digit
Regular digit Doubled digit Check digit

Step 1: Double every other digit from the right

Starting with the rightmost digit of the first nine digits, double every other value. If doubling creates a two-digit number, add those digits together.

1 → 2 5 → 10 → 1 5 → 10 → 1 8 → 16 → 7 8 → 16 → 7

Step 2: Add all digits plus the NPI constant

Add the transformed values, the unchanged digits, and the constant 24.

2 + 4 + 1 + 0 + 7 + 1 + 0 + 2 + 1 + 6 + 0 + 1 + 6 + 24 = 55

Step 3: Find the amount needed to reach the next multiple of 10

The next multiple of ten after 55 is 60. The difference is the calculated check digit.

60 - 55 = 5
This NPI is valid
The calculated check digit is 5, which matches the last digit of 1457528085.

Other Providers at the Same Location


The following 4 providers are registered at the same or a nearby location.

Non-emergency Medical Transport (VAN)
4500 PARIS GRAVEL RD
HANNIBAL, MO 63401
Nursing Care
4500 PARIS GRAVEL RD
HANNIBAL, MO 63401
Technician (Personal Care Attendant)
4500 PARIS GRAVEL RD
HANNIBAL, MO 63401
In Home Supportive Care
4500 PARIS GRAVEL RD
HANNIBAL, MO 63401

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1457528085, enumerated as an "organization" on May 13, 2008.

The provider is located at 4500 PARIS GRAVEL RD HANNIBAL, MO 63401 and the phone number is (573) 221-8282.

Homemaker with taxonomy code 376J00000X.

The provider might be accepting Accepts: Medicare and Medicaid. Please consult your insurance carrier or call the provider to verify.