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Northeast Independent Living Services

Personal Care Attendant in Hannibal, MO · enumerated 2007 · authorized official Brooke Kendrick, Executive Director.

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

National Provider Identifier

1952426496

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Registry record

Entity type Organization (Type 2)
Legal business name Northeast Independent Living Services
Other name <Unavail>
Practice address 4500 Paris Gravel Rd, Hannibal, MO, 63401
Phone (573) 221-8282
Fax (573) 221-8233
Enumeration date Mar 21, 2007
Last updated in NPPES Nov 1, 2023

Taxonomy & classification

251J00000X Nursing Care Agency Agencies Secondary
251X00000X Supports Brokerage Agency Agencies Secondary
253Z00000X In Home Supportive Care Agency Agencies Secondary
3747P1801X Personal Care Attendant Nursing Service Related Providers Primary

Authorized official

Name Brooke Kendrick
Title Executive Director
Phone (573) 221-8282

Other identifiers

Identifier Type State Issuer
266213701 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.

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Frequently asked questions

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.
What type of organization is Northeast Independent Living Services?
Northeast Independent Living Services is registered in NPPES as a Personal Care Attendant (its primary provider taxonomy).

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Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2023-11-01.