Organization Active NPI

Equal Independence LLC

  • Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
  • Emporia, KS
National Provider Identifier
1124449582
Registry record updated Jan 2, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Intellectual and/or Developmental Disabilities Community Based Residential Treatment FacilityTaxonomy code 320900000X
License
200462510A Issued in KS
Legal business name
EQUAL INDEPENDENCE LLC
Practice address
112 W 6TH Ave
Emporia, KS 66801-4067
Phone
(620) 412-2820
NPI assigned
Jan 2, 2014
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 2, 2014

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

Authorized official

Name
Janell Carter
Title
Owner
Phone
(620) 412-2820

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Developmentally Disabled Services Day Training Agency 251C00000X 200462510A KS
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility 320900000X 200462510A KS Primary

Addresses

Primary practice location

112 W 6TH Ave
Emporia, KS 66801-4067

Mailing address

PO Box 1101
Emporia, KS 66801-1101
Phone (620) 412-2820

Other identifiers 1

IdentifierTypeStateIssuer
200462510AMedicaidKS

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1388620800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1388620800000",
    "number": "1124449582",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1101",
            "city": "EMPORIA",
            "state": "KS",
            "postal_code": "668011101",
            "telephone_number": "620-412-2820"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "112 W 6TH AVE",
            "city": "EMPORIA",
            "state": "KS",
            "postal_code": "668014067",
            "telephone_number": "620-412-2820"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EQUAL INDEPENDENCE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-01-02",
        "last_updated": "2014-01-02",
        "status": "A",
        "authorized_official_last_name": "CARTER",
        "authorized_official_first_name": "JANELL",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "620-412-2820"
    },
    "taxonomies": [
        {
            "code": "251C00000X",
            "taxonomy_group": "",
            "desc": "Day Training, Developmentally Disabled Services",
            "state": "KS",
            "license": "200462510A",
            "primary": false
        },
        {
            "code": "320900000X",
            "taxonomy_group": "",
            "desc": "Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities",
            "state": "KS",
            "license": "200462510A",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "200462510A",
            "state": "KS"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Emporia, KS

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 2, 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.