Organization Active NPI

Midland Empire Resources for Independent Living Inc

  • Home Health Agency
  • Saint Joseph, MO
National Provider Identifier
1093846495
Registry record updated Feb 19, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
License
867-HH Issued in MO
Legal business name
MIDLAND EMPIRE RESOURCES FOR INDEPENDENT LIVING INC
Practice address
1506 S Riverside Rd
Saint Joseph, MO 64507-2578
Phone
(816) 364-0900
Fax
(816) 364-3430
NPI assigned
Mar 8, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 19, 2015

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

Authorized official

Name
JC Dollar
Title
Ceo
Phone
(816) 279-8558

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X 867-HH MO Primary

Addresses

Primary practice location

1506 S Riverside Rd
Saint Joseph, MO 64507-2578

Mailing address

4420 S 40TH St
Saint Joseph, MO 64503-2157
Phone (816) 364-0900

Other names 1

  • Angels In Home LLC dba Angels Home Health Doing business as

National Provider Directory

National Provider Directory

Locations

1506 S Riverside Rd
Saint Joseph, MO 64507
Phone (816) 364-0900

NPI Registry JSON

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

{
    "created_epoch": "1173312000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1424304000000",
    "number": "1093846495",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4420 S 40TH ST",
            "city": "SAINT JOSEPH",
            "state": "MO",
            "postal_code": "645032157",
            "telephone_number": "816-364-0900",
            "fax_number": "816-364-0588"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1506 S RIVERSIDE RD",
            "city": "SAINT JOSEPH",
            "state": "MO",
            "postal_code": "645072578",
            "telephone_number": "816-364-0900",
            "fax_number": "816-364-3430"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MIDLAND EMPIRE RESOURCES FOR INDEPENDENT LIVING INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-08",
        "last_updated": "2015-02-19",
        "status": "A",
        "authorized_official_last_name": "DOLLAR",
        "authorized_official_first_name": "JC",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "816-279-8558"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "MO",
            "license": "867-HH",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Angels In Home LLC dba Angels Home Health",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Saint Joseph, MO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 19, 2015; 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.