Organization Active NPI

Coordinated Care Alliance

  • Case Management Agency
  • Elgin, IL
National Provider Identifier
1043574825
Registry record updated Jan 14, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Case Management AgencyTaxonomy code 251B00000X
Legal business name
COORDINATED CARE ALLIANCE
Practice address
101 S Grove Ave
Elgin, IL 60120-6407
Phone
(224) 535-8083
Fax
(224) 535-9028
NPI assigned
Jun 27, 2012
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 14, 2014

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

Authorized official

Name
Ms. Danise Habun
Title
Executive Director
Phone
(224) 535-8380

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Case Management Agency 251B00000X Primary

Addresses

Primary practice location

101 S Grove Ave
Elgin, IL 60120-6407

Mailing address

101 S Grove Ave
Elgin, IL 60120-6407
Phone (224) 535-8380

National Provider Directory

National Provider Directory

Locations

101 S Grove Ave
Elgin, IL 60120
Phone (224) 535-8083

NPI Registry JSON

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

{
    "created_epoch": "1340755200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1389657600000",
    "number": "1043574825",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "101 S GROVE AVE",
            "city": "ELGIN",
            "state": "IL",
            "postal_code": "601206407",
            "telephone_number": "224-535-8380",
            "fax_number": "224-535-9028"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "101 S GROVE AVE",
            "city": "ELGIN",
            "state": "IL",
            "postal_code": "601206407",
            "telephone_number": "224-535-8083",
            "fax_number": "224-535-9028"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COORDINATED CARE ALLIANCE",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-06-27",
        "last_updated": "2014-01-14",
        "status": "A",
        "authorized_official_last_name": "HABUN",
        "authorized_official_first_name": "DANISE",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "224-535-8380",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "251B00000X",
            "taxonomy_group": "",
            "desc": "Case Management",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Elgin, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 14, 2014; 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.