Organization Active NPI

Elect Independence LLC

  • In Home Supportive Care Agency
  • Rogersville, MO
National Provider Identifier
1801036967
Registry record updated Mar 27, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
In Home Supportive Care AgencyTaxonomy code 253Z00000X
License
LC0864283 Issued in MO
Legal business name
ELECT INDEPENDENCE LLC
Practice address
319 S Main St
Suite F
Rogersville, MO 65742-9361
Phone
(417) 753-3700
Fax
(417) 753-3706
NPI assigned
Mar 3, 2009
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 27, 2017

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

Authorized official

Name
Alicia Ann Hagen
Title
Director
Phone
(417) 753-3700

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
In Home Supportive Care Agency 253Z00000X LC0864283 MO Primary
Respite Care 385H00000X

Addresses

Primary practice location

319 S Main St
Suite F
Rogersville, MO 65742-9361

Mailing address

319 S Main St Ste F
PO Box 204
Rogersville, MO 65742-9424
Phone (417) 753-3700

Other names 1

  • Elect Home Care Doing business as

National Provider Directory

National Provider Directory

Locations

319 S Main St
Ste F
Rogersville, MO 65742
Phone (417) 753-2362

NPI Registry JSON

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

{
    "created_epoch": "1236038400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1490572800000",
    "number": "1801036967",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "319 S MAIN ST STE F",
            "address_2": "PO BOX 204",
            "city": "ROGERSVILLE",
            "state": "MO",
            "postal_code": "657429424",
            "telephone_number": "417-753-3700",
            "fax_number": "417-753-3706"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "319 S MAIN ST",
            "address_2": "SUITE F",
            "city": "ROGERSVILLE",
            "state": "MO",
            "postal_code": "657429361",
            "telephone_number": "417-753-3700",
            "fax_number": "417-753-3706"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ELECT INDEPENDENCE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-03-03",
        "last_updated": "2017-03-27",
        "status": "A",
        "authorized_official_last_name": "HAGEN",
        "authorized_official_first_name": "ALICIA",
        "authorized_official_middle_name": "ANN",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "417-753-3700"
    },
    "taxonomies": [
        {
            "code": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive Care",
            "state": "MO",
            "license": "LC0864283",
            "primary": true
        },
        {
            "code": "385H00000X",
            "taxonomy_group": "",
            "desc": "Respite Care",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Elect Home Care",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Rogersville, MO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 27, 2017; 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.