Type 2 · Organization ✓ Active NPI ✓ Valid NPI checksum

Northeast Independent Living Services

Homemaker in Hannibal, MO · enumerated 2008 · authorized official Tara Fortner, Finance Director.

Data current as of Jul 13, 2026 · sourced from CMS NPPES

National Provider Identifier

1457528085

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Registry record

Entity type Organization (Type 2)

Legal business name Northeast Independent Living Services

Practice address 4500 Paris Gravel Rd, Hannibal, MO, 63401

Phone (573) 221-8282

Fax (573) 221-9445

Enumeration date May 13, 2008

Last updated in NPPES Mar 8, 2023

Taxonomy & classification

251J00000X Nursing Care Agency Agencies Secondary

251X00000X Supports Brokerage Agency Agencies Secondary

253Z00000X In Home Supportive Care Agency Agencies Secondary

372500000X Chore Provider Nursing Service Related Providers Secondary

376J00000X Homemaker Nursing Service Related Providers Primary

385H00000X Respite Care Respite Care Facility Secondary

Authorized official

Name Tara Fortner

Title Finance Director

Phone (573) 221-8282

Other identifiers

Identifier	Type	State	Issuer
266213701	Medicaid	MO	-
286213707	Medicaid	MO	-

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes, even if the provider moves or changes specialty.

Read the full guide → Validate an NPI →

Frequently asked questions

What type of organization is Northeast Independent Living Services?

Northeast Independent Living Services is registered in NPPES as a Homemaker (its primary provider taxonomy).

What is a Type 2 NPI?

A Type 2 NPI identifies an organization (group practice, hospital, pharmacy, lab), while Type 1 NPIs identify individual providers. Organizations bill under their Type 2 NPI.

Providers at this address

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Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2023-03-08.