The Independent Living Center, Inc.

Primary specialty

Attendant Care ProviderTaxonomy code 3747A0650X

Legal business name

THE INDEPENDENT LIVING CENTER, INC.

Practice address

2639 E 34TH St
Joplin, MO 64804-4337

Phone

(417) 659-8086

Fax

(417) 659-8087

NPI assigned

Jul 12, 2016

Organization subpart

Yes

Parent organization

THE INDEPENDENT LIVING CENTER, INC.As reported in NPPES

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

Authorized official

Name

Stormi L Nordstrom

Title

Director of Operations

Phone

(417) 659-8086

Specialties & licenses 3

Addresses

Tax ID family

The Independent Living Center Inc2 organizations share this tax ID, including this one

Part of

The Independent Living Center Inc

Other organizations with this tax ID 1

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

• The Independent Living Center, Inc.

  • Personal Care Attendant
  • Joplin, MO
  • NPI 1881731271
  NPD tax ID

Parent organization (reported in NPPES) 1

This organization reports itself as a subpart in NPPES; the parent’s legal name matches this organization in the same state.

• The Independent Living Center, Inc.

  • Personal Care Attendant
  • Joplin, MO
  • NPI 1881731271
  NPPES parent name

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

{
    "created_epoch": "1468281600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1681862400000",
    "number": "1114379252",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2639 E 34TH ST",
            "city": "JOPLIN",
            "state": "MO",
            "postal_code": "648044337",
            "telephone_number": "417-659-8086",
            "fax_number": "417-659-8087"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2639 E 34TH ST",
            "city": "JOPLIN",
            "state": "MO",
            "postal_code": "648044337",
            "telephone_number": "417-659-8086",
            "fax_number": "417-659-8087"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THE INDEPENDENT LIVING CENTER, INC.",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "THE INDEPENDENT LIVING CENTER, INC.",
        "enumeration_date": "2016-07-12",
        "last_updated": "2023-04-19",
        "certification_date": "2023-04-19",
        "status": "A",
        "authorized_official_last_name": "NORDSTROM",
        "authorized_official_first_name": "STORMI",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "DIRECTOR OF OPERATIONS",
        "authorized_official_telephone_number": "417-659-8086"
    },
    "taxonomies": [
        {
            "code": "372500000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Chore Provider",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "3747A0650X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Technician, Attendant Care Provider",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "3747P1801X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Technician, Personal Care Attendant",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Dana T Terrill, PT, DPT
• Jacob Walton Terry
• Jeffrey Terry, CRNA
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• The Independent Living Center, Inc.
• The Mobile Speech Clinic, LLC
• The Optical Shoppe
• Jennifer K. Theis, NP
• Stephanie Anne Theis, L.C.S.W., M.S.W.

• Attendant Care Provider in Joplin, MO
• Providers in Joplin, MO by specialty
• Attendant Care Provider in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 19, 2023; 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.