Organization Active NPI

Creston Comm School

  • Local Education Agency (LEA)
  • Rochelle, IL
National Provider Identifier
1043488554
Registry record updated Apr 20, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Local Education Agency (LEA)Taxonomy code 251300000X
Legal business name
CRESTON COMM SCHOOL
Practice address
202 W South Street
Rochelle, IL 61068
Phone
(815) 382-3920
NPI assigned
Feb 19, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 20, 2008

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Karen Collins
Title
Medicaid Admin
Phone
(815) 382-3920

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Local Education Agency (LEA) 251300000X Primary

Addresses

Primary practice location

202 W South Street
Rochelle, IL 61068

Mailing address

PO Box 37
Creston, IL 60113-0037
Phone (815) 382-3920

National Provider Directory

National Provider Directory

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1203379200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1208649600000",
    "number": "1043488554",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 37",
            "city": "CRESTON",
            "state": "IL",
            "postal_code": "601130037",
            "telephone_number": "815-382-3920"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "202 W SOUTH STREET",
            "city": "ROCHELLE",
            "state": "IL",
            "postal_code": "61068",
            "telephone_number": "815-382-3920"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CRESTON COMM SCHOOL",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-02-19",
        "last_updated": "2008-04-20",
        "status": "A",
        "authorized_official_last_name": "COLLINS",
        "authorized_official_first_name": "KAREN",
        "authorized_official_title_or_position": "MEDICAID ADMIN",
        "authorized_official_telephone_number": "815-382-3920"
    },
    "taxonomies": [
        {
            "code": "251300000X",
            "taxonomy_group": "",
            "desc": "Local Education Agency (LEA)",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Rochelle, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 20, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.