Organization
THE INDEPENDENT LIVING CENTER, INC.
Active
Organization
THE INDEPENDENT LIVING CENTER, INC.
Active
Parent organization
THE INDEPENDENT LIVING CENTER, INC.
Organization subpart
Yes
Provider details
NPI number
Legal business name
THE INDEPENDENT LIVING CENTER, INC.
Authorized official
STORMI L NORDSTROM (DIRECTOR OF OPERATIONS)
(417) 659-8086
Entity
Organization
Contact information
Practice address
2639 E 34TH ST, JOPLIN, MO 64804-4337
(417) 659-8086
(417) 659-8087
Mailing address
2639 E 34TH ST, JOPLIN, MO 64804-4337
(417) 659-8086
(417) 659-8087
Taxonomy
Speciality
Code
Description
License number
State
372500000X
Chore Provider
—
—
3747A0650X
Attendant Care Provider
Primary
—
—
3747P1801X
Personal Care Attendant
—
—
Other
Enumeration date
07/12/2016
Last updated
04/19/2023
Update your record
If you believe information in your NPPES record is inaccurate, or if you wish to update or deactivate your NPI, you can do so directly with CMS at https://nppes.cms.hhs.gov.
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Sign up