=====================================================
General NPI Number Information
=====================================================
NPI Number | 1710030283
-----------------------------------------------------
Entity Type | Organization
-----------------------------------------------------
Legal Business Name | WEST-CENTRAL INDEPENDENT LIVING SOLUTIONS
-----------------------------------------------------
=====================================================
Dates
=====================================================
Enumeration Date | 01/19/2007
-----------------------------------------------------
Last Update Date | 09/02/2025
-----------------------------------------------------
=====================================================
Provider Practice Location Address
=====================================================
Address Line | 612 N RIDGEVIEW DR STE D
-----------------------------------------------------
City | WARRENSBURG
-----------------------------------------------------
State | MO
-----------------------------------------------------
Zip | 64093-9337
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 660-422-7883
-----------------------------------------------------
Fax | 660-422-7895
-----------------------------------------------------
=====================================================
Provider Business Mailing Address
=====================================================
Address Line | 612 N RIDGEVIEW DR
-----------------------------------------------------
City | WARRENSBURG
-----------------------------------------------------
State | MO
-----------------------------------------------------
Zip | 64093-9337
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 660-422-7883
-----------------------------------------------------
Fax | 660-422-7895
-----------------------------------------------------
=====================================================
Authorized Official
=====================================================
Title or Position | EXECUTIVE DIRECTOR
-----------------------------------------------------
Name | DEB HOBSON
-----------------------------------------------------
Credential |
-----------------------------------------------------
Telephone | 660-422-7883
-----------------------------------------------------
=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
Taxonomy Code | 251B00000X
-----------------------------------------------------
Taxonomy Name | Case Management Agency
-----------------------------------------------------
License Number |
-----------------------------------------------------
License Number State | MO
-----------------------------------------------------