Active NPI
Heartland Independent Living Center
Doing business as HILC In-Home Care
- Supports Brokerage Agency
- Owensville, MO
National Provider Identifier
1972635308
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Supports Brokerage Agency
- Legal business name
- HEARTLAND INDEPENDENT LIVING CENTER
- Doing business as
- HILC In-Home Care
- Practice address
- 1010 Hwy 28
Owensville, MO 65066-1677 - Phone
- (573) 437-5100
- Fax
- (573) 437-5117
- NPI assigned
- Mar 12, 2007
- Last updated
- Mar 14, 2011
- Organization subpart
- Yes
- Parent organization
- HEARTLAND INDEPENDENT LIVING CENTER
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mr. Patrick Allen Chambers
- Title
- Executive Director
- Phone
- (573) 437-5100
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| In Home Supportive Care Agency | 253Z00000X | |||
| Supports Brokerage Agency | 251X00000X | Primary |
Addresses
Primary practice location
1010 Hwy 28
Owensville, MO 65066-1677
Mailing address
1010 Hwy 28
Owensville, MO 65066-1677
Phone (573) 437-5100
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 266212604 | Medicaid | MO |
Other names 1
- HILC In-Home Care
National Provider Directory
National Provider Directory- Part of
- Heartland Independent Living Center
Locations
1010 W Highway 28
Owensville, MO 65066
Phone (573) 437-5100
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1173657600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1300060800000",
"number": "1972635308",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1010 HWY 28",
"city": "OWENSVILLE",
"state": "MO",
"postal_code": "650661677",
"telephone_number": "573-437-5100",
"fax_number": "573-437-5117"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1010 HWY 28",
"city": "OWENSVILLE",
"state": "MO",
"postal_code": "650661677",
"telephone_number": "573-437-5100",
"fax_number": "573-437-5117"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "HEARTLAND INDEPENDENT LIVING CENTER",
"organizational_subpart": "YES",
"parent_organization_legal_business_name": "HEARTLAND INDEPENDENT LIVING CENTER",
"enumeration_date": "2007-03-12",
"last_updated": "2011-03-14",
"status": "A",
"authorized_official_last_name": "CHAMBERS",
"authorized_official_first_name": "PATRICK",
"authorized_official_middle_name": "ALLEN",
"authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
"authorized_official_telephone_number": "573-437-5100",
"authorized_official_name_prefix": "Mr."
},
"taxonomies": [
{
"code": "253Z00000X",
"taxonomy_group": "",
"desc": "In Home Supportive Care",
"state": null,
"license": null,
"primary": false
},
{
"code": "251X00000X",
"taxonomy_group": "",
"desc": "Supports Brokerage",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "266212604",
"state": "MO"
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "HILC In-Home Care",
"code": "3",
"type": "Doing Business As"
}
]
}Other providers in Owensville, MO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 14, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.