Northeast Independent Living Services
NPI 1861622128ActiveOrganization· PACE Provider Organization· Hannibal, MO
PACE Provider Organization in Hannibal, Missouri, registered in NPPES in July 2009. The authorized official on file is Tara Fortner, Payroll Billing Manager.
Overview
| NPI | 1861622128 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Jul 21, 2009 |
| Last updated in NPPES | Jul 21, 2009 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| PACE Provider Organization Primary | 251T00000X | 834 | MO |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Oct 9, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 10, 2026 | No match | — |
| New York OMIG · Nov 10, 2026 | No match | — |
| Ohio Medicaid · Nov 10, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 10, 2026 | No match | — |
| Washington HCA · Nov 10, 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 |
|---|