Elisha Corey May Anthony

Individual provider Active NPI Adult Care Home Facility · Independence, MO

NPI 1962318774 · NPPES record last updated Aug 21, 2026

Key facts

NPI
1962318774
Entity type
Individual (NPI type 1)
Primary specialty
Adult Care Home Facility 311ZA0620X
License
N201134033 (MO)
Practice address
1515 N Hocker Ave
Independence, MO 64050-1962
Phone
(816) 791-3538
NPI assigned
Aug 21, 2026
Sex
Female
Sole proprietor
Yes

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Adult Care Home Facility 311ZA0620X N201134033 MO Yes

Addresses

Primary practice location

1515 N Hocker Ave
Independence, MO 64050-1962

Mailing address

1515 N Hocker Ave
Independence, MO 64050-1962
Phone (816) 791-3538

Other providers in Independence, MO

All providers in Independence, MO · Adult Care Home Facility in Missouri

Sources for this page

Verify at the official NPI Registry.