Active NPI
Thrive Community Connections
- Case Manager/Care Coordinator
- Belleville, IL
National Provider Identifier
1093598872
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Case Manager/Care Coordinator
- Legal business name
- THRIVE COMMUNITY CONNECTIONS
- Practice address
- 34 Bedford Dr
Belleville, IL 62226-5710 - Phone
- (618) 225-2639
- NPI assigned
- Aug 16, 2023
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Brandice Eckford
- Title
- Owner
- Phone
- (618) 225-2639
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Case Manager/Care Coordinator | 171M00000X | Primary | ||
| Home Health Agency | 251E00000X | |||
| Developmental Disabilities Clinic/Center | 261QD1600X |
Addresses
Primary practice location
34 Bedford Dr
Belleville, IL 62226-5710
Mailing address
34 Bedford Dr
Belleville, IL 62226-5710
Phone (618) 225-2639
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1692144000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1692144000000",
"number": "1093598872",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "34 BEDFORD DR",
"city": "BELLEVILLE",
"state": "IL",
"postal_code": "622265710",
"telephone_number": "618-225-2639"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "34 BEDFORD DR",
"city": "BELLEVILLE",
"state": "IL",
"postal_code": "622265710",
"telephone_number": "618-225-2639"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "THRIVE COMMUNITY CONNECTIONS",
"organizational_subpart": "NO",
"enumeration_date": "2023-08-16",
"last_updated": "2023-08-16",
"certification_date": "2023-08-16",
"status": "A",
"authorized_official_last_name": "ECKFORD",
"authorized_official_first_name": "BRANDICE",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "618-225-2639"
},
"taxonomies": [
{
"code": "171M00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Case Manager/Care Coordinator",
"state": null,
"license": null,
"primary": true
},
{
"code": "251E00000X",
"taxonomy_group": "",
"desc": "Home Health",
"state": null,
"license": null,
"primary": false
},
{
"code": "261QD1600X",
"taxonomy_group": "",
"desc": "Clinic/Center, Developmental Disabilities",
"state": null,
"license": null,
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Belleville, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 16, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.