Independent Living Center of Mid-Missouri Inc.

Primary specialty

SpecialistTaxonomy code 174400000X

Legal business name

INDEPENDENT LIVING CENTER OF MID-MISSOURI INC.

Doing business as

Services for Independent Living

Practice address

1401 Hathman PL
Columbia, MO 65201-5552

Phone

(573) 874-1646

Fax

(573) 874-3564

NPI assigned

May 31, 2006

Organization subpart

No

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

Authorized official

Name

Mr. Patrick Lee

Title

Executive Director

Phone

(573) 874-1646

Specialties & licenses 4

Addresses

Other identifiers 1

Other names 1

• Services for Independent Living Doing business as

Electronic endpoints 1

Locations

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

{
    "created_epoch": "1149033600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1647907200000",
    "number": "1619914538",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1401 HATHMAN PL",
            "city": "COLUMBIA",
            "state": "MO",
            "postal_code": "652015552",
            "telephone_number": "573-874-1646",
            "fax_number": "573-874-3564"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1401 HATHMAN PL",
            "city": "COLUMBIA",
            "state": "MO",
            "postal_code": "652015552",
            "telephone_number": "573-874-1646",
            "fax_number": "573-874-3564"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "INDEPENDENT LIVING CENTER OF MID-MISSOURI INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-05-31",
        "last_updated": "2022-03-22",
        "certification_date": "2022-03-22",
        "status": "A",
        "authorized_official_last_name": "LEE",
        "authorized_official_first_name": "PATRICK",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "573-874-1646",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Specialist",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "251X00000X",
            "taxonomy_group": "",
            "desc": "Supports Brokerage",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive Care",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "3747P1801X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Technician, Personal Care Attendant",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "266211309",
            "state": "MO"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "plee@silcolumbia.org",
            "affiliation": "N",
            "endpointDescription": "Email address",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "1401 Hathman Pl",
            "city": "Columbia",
            "state": "MO",
            "country_code": "US",
            "postal_code": "652015552",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "organization_name": "Services for Independent Living",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Services for Independent Living",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Winifred Ubeloka Iklaki, MD
• Andrew McMorris Iliff, MD
• Syed K Imam, MD
• Ashton Reilly Imhoff
• Madison Hale Imler
• Independent Living Concepts, LLC
• Individual Marriage and Family Enrichment LLC
• Derek Ingalls, PLPC
• Kevin Lucas Ingalls, MD
• Angela Dawn Ingram, MD

• Specialist in Columbia, MO
• Providers in Columbia, MO by specialty
• Specialist in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 22, 2022; 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.