Provider Demographics
NPI:1538608708
Name:ACCESS II INDEPENDENT LIVING CENTER
Entity type:Organization
Organization Name:ACCESS II INDEPENDENT LIVING CENTER
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:EXECUTIVE DIRECTOR
Authorized Official - Prefix:MS
Authorized Official - First Name:HEATHER
Authorized Official - Middle Name:M
Authorized Official - Last Name:SWYMELER
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:660-663-2423
Mailing Address - Street 1:101 INDUSTRIAL PKWY
Mailing Address - Street 2:
Mailing Address - City:GALLATIN
Mailing Address - State:MO
Mailing Address - Zip Code:64640-7418
Mailing Address - Country:US
Mailing Address - Phone:660-663-2423
Mailing Address - Fax:660-663-2517
Practice Address - Street 1:101 INDUSTRIAL PKWY
Practice Address - Street 2:
Practice Address - City:GALLATIN
Practice Address - State:MO
Practice Address - Zip Code:64640-7418
Practice Address - Country:US
Practice Address - Phone:660-663-2423
Practice Address - Fax:660-663-2517
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2017-02-21
Last Update Date:2025-01-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes372500000XNursing Service Related ProvidersChore ProviderGroup - Multi-Specialty
No171M00000XOther Service ProvidersCase Manager/Care CoordinatorGroup - Multi-Specialty
No253Z00000XAgenciesIn Home Supportive CareGroup - Multi-Specialty
No3747P1801XNursing Service Related ProvidersTechnicianPersonal Care AttendantGroup - Multi-Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
MO1568416600Medicaid