Organization Active NPI

Rural Advocates for Independent Living

  • Community Based Hospice Care Agency
  • Kirksville, MO
National Provider Identifier
1881765311
Registry record updated Jan 16, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community Based Hospice Care AgencyTaxonomy code 251G00000X
License
0008191 Issued in MO
Legal business name
RURAL ADVOCATES FOR INDEPENDENT LIVING
Practice address
1100 S. Jamison
Kirksville, MO 63501
Phone
(660) 627-7245
Fax
(660) 627-0525
NPI assigned
Nov 13, 2006
Last updated
Jan 16, 2013By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 16, 2013

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

Authorized official

Name
Theresa L Myers
Title
Executive Director
Phone
(660) 627-7245

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community Based Hospice Care Agency 251G00000X 0008191 MO Primary

Addresses

Primary practice location

1100 S. Jamison
Kirksville, MO 63501

Mailing address

1100 S. Jamison
Kirksville, MO 63501
Phone (660) 627-7245

Other identifiers 1

IdentifierTypeStateIssuer
266212703MedicaidMO

National Provider Directory

National Provider Directory
Tax ID family
Rural Advocates for Independent Living3 organizations share this tax ID, including this one

Other organizations with this tax ID 2

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

Locations

1100 Jamison St
Kirksville, MO 63501
Phone (660) 627-7245

NPI Registry JSON

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

{
    "created_epoch": "1163376000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1358294400000",
    "number": "1881765311",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1100 S. JAMISON",
            "city": "KIRKSVILLE",
            "state": "MO",
            "postal_code": "63501",
            "telephone_number": "660-627-7245",
            "fax_number": "660-627-0525"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1100 S. JAMISON",
            "city": "KIRKSVILLE",
            "state": "MO",
            "postal_code": "63501",
            "telephone_number": "660-627-7245",
            "fax_number": "660-627-0525"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RURAL ADVOCATES FOR INDEPENDENT LIVING",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-13",
        "last_updated": "2013-01-16",
        "status": "A",
        "authorized_official_last_name": "MYERS",
        "authorized_official_first_name": "THERESA",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "660-627-7245"
    },
    "taxonomies": [
        {
            "code": "251G00000X",
            "taxonomy_group": "",
            "desc": "Hospice Care, Community Based",
            "state": "MO",
            "license": "0008191",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "266212703",
            "state": "MO"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Kirksville, MO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 16, 2013; 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.