OrganizationActive
Northeast Independent Living Services
NPI 1790948958 · Nursing Care Agency · Hannibal, MO
Provider details
- NPI number
- 1790948958
- Entity type
- Organization
- Primary specialty
- Nursing Care AgencyAgencies
- Organization subpart
- No
- Authorized official
- Tara Fortner, Finance Director(573) 221-8282
Specialties & taxonomies
Agencies
Practice location
4500 Paris Gravel Rd
Hannibal, MO 63401-5422
Phone: (573) 221-8282
Fax: (573) 221-8233
Approximate (ZIP-level) locationGet directions
Mailing address
909 Broadway Ste 350
Hannibal, MO 63401-4253
Other names (DBA / former)
- Doing business as
- Quality in Home Care
- Doing business as
- Quality in Home Care
Registry dates
- Enumerated
- 2008-07-08
- Last updated
- 2023-10-30
- Certified
- 2023-10-30
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.