Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Northeast Independent Living Services

Organization Nursing Care Agency · NPI 1457528085

Northeast Independent Living Services is a Nursing Care Agency in Hannibal, Missouri. Registered with an NPI since 2008.

In the registry since
2008
Specialties on file
6

Practice location Address checks out

4500 Paris Gravel Rd
Hannibal, MO 63401-5422
Phone: (573) 221-8282
Fax: (573) 221-9445
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Homemaker (primary) Taxonomy 376J00000X
Nursing Care Agency Taxonomy 251J00000X
Supports Brokerage Agency Taxonomy 251X00000X
In Home Supportive Care Agency Taxonomy 253Z00000X
Chore Provider Taxonomy 372500000X
Respite Care Taxonomy 385H00000X

Record details

NPI number1457528085
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Tara Fortner — Finance Director · (573) 221-8282
NPI enumeratedMay 13, 2008
Last updated in NPPESMarch 8, 2023
Certification dateMarch 8, 2023
Mailing address4500 Paris Gravel Rd, Hannibal, MO 63401-5422

Other providers in Hannibal