The Independent Living Center, Inc.

Primary specialty

Personal Care AttendantTaxonomy code 3747P1801X

Legal business name

THE INDEPENDENT LIVING CENTER, INC.

Practice address

2639 E 34TH St
Joplin, MO 64804-4337

Phone

(417) 659-8086

Fax

(417) 649-8087

NPI assigned

Feb 1, 2007

Organization subpart

No

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

Authorized official

Name

Mrs. Stormi L. Nordstrom

Title

Office Manager

Phone

(417) 659-8086

Specialties & licenses 5

Addresses

Other identifiers 3

Other names 1

• Independent Living In-Home Care Other name

Tax ID family

The Independent Living Center Inc2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• The Independent Living Center, Inc.

  • Attendant Care Provider
  • Joplin, MO
  • NPI 1114379252
  NPD tax ID

Locations

Subparts reporting this organization as parent 1

Organizations that report themselves as subparts in NPPES and name this organization, in the same state, as their parent.

• The Independent Living Center, Inc.

  • Attendant Care Provider
  • Joplin, MO
  • NPI 1114379252
  NPPES parent name

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

{
    "created_epoch": "1170288000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1666137600000",
    "number": "1881731271",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2639 E 34TH ST",
            "city": "JOPLIN",
            "state": "MO",
            "postal_code": "648044337",
            "telephone_number": "417-659-8086",
            "fax_number": "417-649-8087"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2639 E 34TH ST",
            "city": "JOPLIN",
            "state": "MO",
            "postal_code": "648044337",
            "telephone_number": "417-659-8086",
            "fax_number": "417-649-8087"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THE INDEPENDENT LIVING CENTER, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-01",
        "last_updated": "2022-10-19",
        "certification_date": "2022-10-19",
        "status": "A",
        "authorized_official_last_name": "NORDSTROM",
        "authorized_official_first_name": "STORMI",
        "authorized_official_middle_name": "L.",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "417-659-8086",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "171M00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Case Manager/Care Coordinator",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive Care",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QH0100X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Health Service",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "372500000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Chore Provider",
            "state": "MO",
            "license": null,
            "primary": false
        },
        {
            "code": "3747P1801X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Technician, Personal Care Attendant",
            "state": "MO",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "266213602",
            "state": "MO"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "266236108",
            "state": "MO"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "286236104",
            "state": "MO"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Independent Living In-Home Care",
            "code": "5",
            "type": "Other Name"
        },
        {
            "organization_name": "Independent Living In-Home Care",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Jacob Walton Terry
• Jeffrey Terry, CRNA
• The Arc of the Ozarks (ARC-Renovations Joplin)
• The H.O.U.S.E Inc.,
• The Independent Living Center, Inc.
• The Mobile Speech Clinic, LLC
• The Optical Shoppe
• Jennifer K. Theis, NP
• Stephanie Anne Theis, L.C.S.W., M.S.W.
• Dorothy N Theus, PLPC

• Personal Care Attendant in Joplin, MO
• Providers in Joplin, MO by specialty
• Personal Care Attendant in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 19, 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.