Organization Active NPI

Rural Advocates for Independent Living

  • In Home Supportive Care Agency
  • Macon, MO
National Provider Identifier
1043638646
Registry record updated Apr 1, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
In Home Supportive Care AgencyTaxonomy code 253Z00000X
Legal business name
RURAL ADVOCATES FOR INDEPENDENT LIVING
Practice address
205 E 2ND St
Macon, MO 63552-1402
Phone
(660) 395-7001
Fax
(660) 395-7004
NPI assigned
Apr 1, 2014
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 1, 2014

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

Authorized official

Name
Theresa Myers
Title
Executive Director
Phone
(660) 395-7001

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
In Home Supportive Care Agency 253Z00000X Primary

Addresses

Primary practice location

205 E 2ND St
Macon, MO 63552-1402

Mailing address

205 E 2ND St
Macon, MO 63552-1402
Phone (660) 395-7001

Other identifiers 1

IdentifierTypeStateIssuer
42MedicaidMO

National Provider Directory

National Provider Directory
Tax ID family
Rural Advocates for Independent Living3 organizations share this tax ID, including this one

Other organizations with this tax ID 2

Organizations that report the same tax identification number in the National Provider Directory.

Locations

205 E 2nd St
Macon, MO 63552
Phone (660) 395-7001

NPI Registry JSON

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

{
    "created_epoch": "1396310400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1396310400000",
    "number": "1043638646",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "205 E 2ND ST",
            "city": "MACON",
            "state": "MO",
            "postal_code": "635521402",
            "telephone_number": "660-395-7001",
            "fax_number": "660-395-7004"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "205 E 2ND ST",
            "city": "MACON",
            "state": "MO",
            "postal_code": "635521402",
            "telephone_number": "660-395-7001",
            "fax_number": "660-395-7004"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RURAL ADVOCATES FOR INDEPENDENT LIVING",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-04-01",
        "last_updated": "2014-04-01",
        "status": "A",
        "authorized_official_last_name": "MYERS",
        "authorized_official_first_name": "THERESA",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "660-395-7001"
    },
    "taxonomies": [
        {
            "code": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "42",
            "state": "MO"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Macon, MO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 1, 2014; 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.