Fox Valley Older Adult Services

Primary specialty

Voluntary or Charitable AgencyTaxonomy code 251V00000X

Legal business name

FOX VALLEY OLDER ADULT SERVICES

Practice address

1406 Suydam Rd
Sandwich, IL 60548-1459

Phone

(815) 786-9404

NPI assigned

Jun 11, 2008

Last updated

Jun 11, 2008By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Ms. Kimberly Ann Troutman

Title

Executive Director

Phone

(815) 786-9404

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1213142400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1213142400000",
    "number": "1093975351",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1406 SUYDAM RD",
            "city": "SANDWICH",
            "state": "IL",
            "postal_code": "605481459",
            "telephone_number": "815-786-9404"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1406 SUYDAM RD",
            "city": "SANDWICH",
            "state": "IL",
            "postal_code": "605481459",
            "telephone_number": "815-786-9404"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FOX VALLEY OLDER ADULT SERVICES",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-06-11",
        "last_updated": "2008-06-11",
        "status": "A",
        "authorized_official_last_name": "TROUTMAN",
        "authorized_official_first_name": "KIMBERLY",
        "authorized_official_middle_name": "ANN",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "815-786-9404",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "251V00000X",
            "taxonomy_group": "",
            "desc": "Voluntary or Charitable",
            "state": "IL",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• First Impressions by Lerohl & Landers
• Latehesha Fitch, LCPC
• Katie Michelle Fitzgerald, PT
• Kara Flynn, DMD
• Fountain Medical Group SC
• Fox Valley Urology S.C.
• Fox Valley Vein Centers, P.C.
• Foxland Respiratory Consultants, S.C.
• Fresenius Medical Care Sandwich, LLC (Fresenius Medical Care Sandwich)
• Daniel D Gauthier, DO

• Voluntary or Charitable Agency in Sandwich, IL
• Providers in Sandwich, IL by specialty
• Voluntary or Charitable Agency in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 11, 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.