Independent Living Center of Southeast Missouri, Inc.
NPI 1720152077ActiveOrganization· Case Management· Poplar Bluff, MO
Case Management in Poplar Bluff, Missouri, registered in NPPES in November 2006. The authorized official on file is Jennifer Brown, Executive Director.
Overview
| NPI | 1720152077 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Nov 20, 2006 |
| Last updated in NPPES | Sep 14, 2021 |
| Certified by provider | Sep 14, 2021 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Case Management Primary | 251B00000X | — | MO |
| Nursing Care | 251J00000X | — | — |
| In Home Supportive Care | 253Z00000X | — | — |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Oct 9, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 4, 2026 | No match | — |
| New York OMIG · Nov 4, 2026 | No match | — |
| Ohio Medicaid · Nov 4, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 4, 2026 | No match | — |
| Washington HCA · Nov 4, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Not in the public enrollment file of Oct 1, 2026 |
|---|
Other Case Management providers in Poplar Bluff
- 1699664110
- 1063582708