MAGNOLIA GARDEN ADULT DAYCARE
NPI 1861622128
Program of All-Inclusive Care for the Elderly (PACE) Provider Organization in Hannibal, MO

Q: What is Northeast Independent Living Services's specialty?

The primary specialty registered for this NPI is Program of All-Inclusive Care for the Elderly (PACE) Provider Organization with taxonomy code 251T00000X.

Active since July 21, 2009

909 BROADWAY, SUITE 350, HANNIBAL, MO 63401(573) 221-8282(573) 221-8233 Get Directions Write a Review

NPPES record last updated: July 21, 2009. Verified against the NPPES registry weekly; last sync: August 16, 2026.

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About Magnolia Garden Adult Daycare NPPES

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

MAGNOLIA GARDEN ADULT DAYCARE (NPI 1861622128) is a healthcare organization registered as a program of all-inclusive care for the elderly (pace) provider organization in Hannibal, Missouri and active in the NPI registry since July 2009. The organization lists Tara Fortner, Payroll Billing Manager, as its authorized official.

NPPES Registry Identity

NPI1861622128

Entity TypeOrganization

Primary Taxonomy251T00000X

Legal Business NameNORTHEAST INDEPENDENT LIVING SERVICES

Location Address909 BROADWAY, SUITE 350Hannibal, MO 63401-4249

Mailing Address909 Broadway, Suite 350Hannibal, MO 63401-4249 · (573) 221-8282 · Fax (573) 221-8233

Phone(573) 221-8282

Fax(573) 221-8233

Organization SubpartNo

Authorized OfficialTara FortnerPayroll Billing Manager · (573) 221-8282

Enumeration DateJuly 21, 2009

✔ NPI 1861622128 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyProgram of All-Inclusive Care for the Elderly (PACE) Provider OrganizationAgencies

Taxonomy Code251T00000X

License✔ Licensed in MO · 834

Definition

A PACE provider organization is a not-for-profit private or public entity that is primarily engaged in providing PACE services(unique capitated managed care benefits for the frail elderly which include comprehensive medical and social services). The following characteristics also apply to a PACE organization. It must: have a governing board that includes community representation; be able to provide complete PACE services regardless of frequency or duration of services; have a physical site to provide adult day services; have a defined service area; have safeguards against conflict of interest; have demonstrated fiscal soundness and have a formal Participant Bill of Rights.

909 BROADWAY, Hannibal, MO 63401

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Other Names 1

Doing Business AsMagnolia Garden Adult Daycare

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 1861622128. It was assigned to this organization in the NPPES registry on July 21, 2009. The provider is doing business as Magnolia Garden Adult Daycare.

Where is Northeast Independent Living Services located?

Northeast Independent Living Services is located at 909 Broadway Suite 350, 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 Program of All-Inclusive Care for the Elderly (PACE) Provider Organization with taxonomy code 251T00000X.

When was this NPI record last updated?

The NPPES record for Northeast Independent Living Services was last updated on July 21, 2009. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 17 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.