Independent Living Center of Northeast Kansas, Inc.

Primary specialty

Case Management AgencyTaxonomy code 251B00000X

Legal business name

INDEPENDENT LIVING CENTER OF NORTHEAST KANSAS, INC.

Practice address

521 Commercial St
Suite C
Atchison, KS 66002-2418

Phone

(913) 367-1830

Fax

(913) 367-1430

NPI assigned

Feb 21, 2006

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Ken Gifford

Title

President Ceo

Phone

(913) 367-1830

Specialties & licenses 1

Addresses

Locations

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1140480000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1003881202",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "521 COMMERCIAL ST",
            "address_2": "SUITE C",
            "city": "ATCHISON",
            "state": "KS",
            "postal_code": "660022418",
            "telephone_number": "913-367-1830",
            "fax_number": "913-367-1430"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "521 COMMERCIAL ST",
            "address_2": "SUITE C",
            "city": "ATCHISON",
            "state": "KS",
            "postal_code": "660022418",
            "telephone_number": "913-367-1830",
            "fax_number": "913-367-1430"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "INDEPENDENT LIVING CENTER OF NORTHEAST KANSAS, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-02-21",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "GIFFORD",
        "authorized_official_first_name": "KEN",
        "authorized_official_title_or_position": "PRESIDENT CEO",
        "authorized_official_telephone_number": "913-367-1830"
    },
    "taxonomies": [
        {
            "code": "251B00000X",
            "taxonomy_group": "",
            "desc": "Case Management",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Case Management Agency in Kansas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.