Active NPI
Equal Independence Agency, LLC
- Developmentally Disabled Services Day Training Agency
- Emporia, KS
National Provider Identifier
1477061604
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Developmentally Disabled Services Day Training Agency
- Legal business name
- EQUAL INDEPENDENCE AGENCY, LLC
- Practice address
- 112 W 6TH Ave
Emporia, KS 66801-4067 - Phone
- (620) 412-2820
- Fax
- (620) 412-9827
- NPI assigned
- Jan 22, 2018
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mrs. Jane E Yocum
- Title
- Owner
- Phone
- (620) 412-2820
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Developmentally Disabled Services Day Training Agency | 251C00000X | KS | Primary |
Addresses
Primary practice location
112 W 6TH Ave
Emporia, KS 66801-4067
Mailing address
1402 W 18TH Ave
Emporia, KS 66801-5652
Phone (620) 412-2820
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 201090070A | Medicaid | KS |
National Provider Directory
National Provider DirectoryLocations
112 W 6th Ave
Emporia, KS 66801
Phone (620) 412-2820
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1516579200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1516579200000",
"number": "1477061604",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1402 W 18TH AVE",
"city": "EMPORIA",
"state": "KS",
"postal_code": "668015652",
"telephone_number": "620-412-2820",
"fax_number": "620-412-9827"
},
{
"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",
"fax_number": "620-412-9827"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "EQUAL INDEPENDENCE AGENCY, LLC",
"organizational_subpart": "NO",
"enumeration_date": "2018-01-22",
"last_updated": "2018-01-22",
"status": "A",
"authorized_official_last_name": "YOCUM",
"authorized_official_first_name": "JANE",
"authorized_official_middle_name": "E",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "620-412-2820",
"authorized_official_name_prefix": "Mrs."
},
"taxonomies": [
{
"code": "251C00000X",
"taxonomy_group": "",
"desc": "Day Training, Developmentally Disabled Services",
"state": "KS",
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "201090070A",
"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 22, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.