Midland Empire Resources for Independent Living Inc

Primary specialty

Intellectual and/or Developmental Disabilities Community Based Residential Treatment FacilityTaxonomy code 320900000X

Legal business name

MIDLAND EMPIRE RESOURCES FOR INDEPENDENT LIVING INC

Practice address

4420 S 40TH St
Saint Joseph, MO 64503-2157

Phone

(816) 279-8558

Fax

(816) 279-1550

NPI assigned

Feb 28, 2020

Organization subpart

No

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

Authorized official

Name

Deann Young

Title

Chief HR Officer

Phone

(816) 279-8558

Specialties & licenses 1

Addresses

Tax ID family

Life Unlimited Inc3 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.

• Life Unlimited, Inc.

  • Case Management Agency
  • Saint Joseph, MO
  • NPI 1184791824
  NPD tax ID
• Life Unlimited, Inc.

  • Health Service Clinic/Center
  • Saint Joseph, MO
  • NPI 1477733475
  NPD tax ID

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

{
    "created_epoch": "1582848000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1582848000000",
    "number": "1992339923",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4420 S 40TH ST",
            "city": "SAINT JOSEPH",
            "state": "MO",
            "postal_code": "645032157",
            "telephone_number": "816-279-8558",
            "fax_number": "816-279-1550"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4420 S 40TH ST",
            "city": "SAINT JOSEPH",
            "state": "MO",
            "postal_code": "645032157",
            "telephone_number": "816-279-8558",
            "fax_number": "816-279-1550"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MIDLAND EMPIRE RESOURCES FOR INDEPENDENT LIVING INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-02-28",
        "last_updated": "2020-02-28",
        "certification_date": "2020-02-28",
        "status": "A",
        "authorized_official_last_name": "YOUNG",
        "authorized_official_first_name": "DEANN",
        "authorized_official_title_or_position": "CHIEF HR OFFICER",
        "authorized_official_telephone_number": "816-279-8558"
    },
    "taxonomies": [
        {
            "code": "320900000X",
            "taxonomy_group": "",
            "desc": "Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kaylee Messner, NP-C
• Metro Treatment of Missouri, LP
• Michael S. Hollingsworth, DDS PC
• Joshua Middendorf, D.C.
• Midland Empire Resources for Independent Living Inc
• Midwest Endoscopy Center LLC
• Midwest Rehabilitation Inc
• Midwest Respiratory Care Inc
• Midwest Urgent Care Clinics, LLC
• Midwestern Health Management, Inc.

• All providers in Saint Joseph, MO
• Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 28, 2020; 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.