Independent Living Center of Southeast Missouri, Inc.
NPI 1720152077 · Case Management Agency · Poplar Bluff, MO
Independent Living Center of Southeast Missouri, Inc. is a Case Management Agency organization in Poplar Bluff, MO (NPI 1720152077).
Provider details
- NPI number
- 1720152077
- Entity type
- Organization
- Primary specialty
- Case Management AgencyAgencies
- Organization subpart
- No
- Authorized official
- Jennifer Brown, Executive Director(573) 686-2333
Specialties & taxonomies
Agencies
- Nursing Care Agency251J00000X
Agencies
- In Home Supportive Care Agency253Z00000X
Agencies
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
19 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
Mailing address
Registry dates
- Enumerated
- 2006-11-20
- Last updated
- 2021-09-14
- Certified
- 2021-09-14
Frequently asked questions
- What is Independent Living Center of Southeast Missouri, Inc.'s NPI number?
- Independent Living Center of Southeast Missouri, Inc.'s National Provider Identifier (NPI) is 1720152077, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Independent Living Center of Southeast Missouri, Inc.?
- Independent Living Center of Southeast Missouri, Inc. is classified in the NPPES registry as Case Management Agency (Agencies).
- Where is Independent Living Center of Southeast Missouri, Inc. located?
- Independent Living Center of Southeast Missouri, Inc.'s practice location on file with NPPES is 511 Cedar St, Poplar Bluff, MO 63901-7301.
- What is Independent Living Center of Southeast Missouri, Inc.'s phone number?
- The practice phone number listed in the NPPES registry for Independent Living Center of Southeast Missouri, Inc. is (573) 686-2333.
- Who is the authorized official for Independent Living Center of Southeast Missouri, Inc.?
- The authorized official listed on Independent Living Center of Southeast Missouri, Inc.'s NPPES record is Jennifer Brown, Executive Director. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Independent Living Center of Southeast Missouri, Inc.'s NPI active?
- Yes — Independent Living Center of Southeast Missouri, Inc.'s NPI (1720152077) is active in the NPPES registry as of the last update on 2021-09-14.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.