Organization · Type 2 NPI

Heartland Independent Living Center

Supports Brokerage Agency · Owensville, MO

NPI number 1972635308 Active

Practice location

1010 Hwy 28
Owensville, MO 65066-1677

Fax (573) 437-5117

Specialties and licenses

Taxonomy	Code	License
Supports Brokerage Agency Primary	251X00000X	None listed
In Home Supportive Care Agency	253Z00000X	None listed

Supports Brokerage Agency: A provider of service/function that assists participating individuals to make informed decisions about what will work best for them is consistent with their needs and reflects their individual circumstances. Serving as the agent of the individual, the service is available to assist in identifying immediate and long-term needs, developing options to meet those needs and accessing identified supports and services and …

NPI record

NPI: 1972635308
Entity type: Organization (Type 2)
Issued: Mar 12, 2007
Last updated: Mar 14, 2011
Status: Active
Subpart: Yes of Heartland Independent Living Center

Other names

<unavail>
Hilc In-Home Care · doing business as

Authorized official

Mr. Patrick Allen Chambers
Executive Director
(573) 437-5100

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This page mirrors the public NPPES file. For credentialing or billing, confirm it on the official CMS NPI Registry, and check the license with the state board.

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About NPI 1972635308

Heartland Independent Living Center's National Provider Identifier is 1972635308, issued on Mar 12, 2007. The primary taxonomy on file is Supports Brokerage Agency (251X00000X), and the practice location is in Owensville, MO. The record was last updated on Mar 14, 2011.