Organization Active NPI

Independent Living Resource Center, Inc.

  • Home Health Agency
  • Jefferson City, MO
National Provider Identifier
1497834667
Registry record updated Jan 15, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
Legal business name
INDEPENDENT LIVING RESOURCE CENTER, INC.
Practice address
3620 W Truman Blvd Ste D
Jefferson City, MO 65109-6125
Phone
(573) 556-0400
Fax
(573) 556-0402
NPI assigned
Nov 6, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 15, 2008

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

Authorized official

Name
Mrs. Stephanie Cox, MSW
Title
Executive Director
Phone
(573) 556-0400

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X Primary

Addresses

Primary practice location

3620 W Truman Blvd Ste D
Jefferson City, MO 65109-6125

Mailing address

PO Box 6787
Jefferson City, MO 65102-6787
Phone (573) 556-0400

National Provider Directory

National Provider Directory

Locations

3620 W Truman Blvd
Ste D
Jefferson City, MO 65109
Phone (573) 556-0400

NPI Registry JSON

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

{
    "created_epoch": "1162771200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1200355200000",
    "number": "1497834667",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 6787",
            "city": "JEFFERSON CITY",
            "state": "MO",
            "postal_code": "651026787",
            "telephone_number": "573-556-0400",
            "fax_number": "573-556-0402"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3620 W TRUMAN BLVD STE D",
            "city": "JEFFERSON CITY",
            "state": "MO",
            "postal_code": "651096125",
            "telephone_number": "573-556-0400",
            "fax_number": "573-556-0402"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "INDEPENDENT LIVING RESOURCE CENTER, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-06",
        "last_updated": "2008-01-15",
        "status": "A",
        "authorized_official_last_name": "COX",
        "authorized_official_first_name": "STEPHANIE",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "573-556-0400",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "MSW"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Jefferson City, MO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 15, 2008; 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.