Type 2 · Organization ✓ Active NPI ✓ Valid NPI checksum

Northeast Independent Living Services

PACE Provider Organization in Hannibal, MO · enumerated 2009 · authorized official Tara Fortner, Payroll Billing Manager.

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

National Provider Identifier

1861622128

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Registry record

Entity type Organization (Type 2)

Legal business name Northeast Independent Living Services

Other name <Unavail>

Practice address 909 Broadway, Suite 350, Hannibal, MO, 63401

Phone (573) 221-8282

Fax (573) 221-8233

Enumeration date Jul 21, 2009

Last updated in NPPES Jul 21, 2009

Taxonomy & classification

251T00000X PACE Provider Organization Agencies · License 834 (MO) Primary

Authorized official

Name Tara Fortner

Title Payroll Billing Manager

Phone (573) 221-8282

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

Where is Northeast Independent Living Services located?

The practice location on file with NPPES is in Hannibal, MO.

How current is this record?

Data comes from the CMS NPPES public dissemination file; this record was last updated in NPPES on 2009-07-21. Verify at npiregistry.cms.hhs.gov.

Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2009-07-21.