Organization Active NPI

Equal Independence Agency, LLC

  • Developmentally Disabled Services Day Training Agency
  • Emporia, KS
National Provider Identifier
1477061604
Registry record updated Jan 22, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Developmentally Disabled Services Day Training AgencyTaxonomy code 251C00000X
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

Updated by the provider on Jan 22, 2018

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)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
201090070AMedicaidKS

National Provider Directory

National Provider Directory

Locations

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.

Verify at the official NPI Registry.