CJC Management Corporation

Primary specialty

Physical Disabilities Residential Treatment FacilityTaxonomy code 320700000X

Legal business name

CJC MANAGEMENT CORPORATION

Practice address

700 N Henrietta St
Effingham, IL 62401-1720

Phone

(217) 821-9539

NPI assigned

Sep 18, 2013

Organization subpart

No

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

Authorized official

Name

Shelley Nuelle

Title

Director

Phone

(217) 821-9539

Specialties & licenses 1

Addresses

Other names 1

• The Glenwood of Mt. Zion Doing business as

Locations

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

{
    "created_epoch": "1379462400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1379462400000",
    "number": "1104252444",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 771",
            "city": "EFFINGHAM",
            "state": "IL",
            "postal_code": "624010771",
            "telephone_number": "217-821-9539"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "700 N HENRIETTA ST",
            "city": "EFFINGHAM",
            "state": "IL",
            "postal_code": "624011720",
            "telephone_number": "217-821-9539"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CJC MANAGEMENT CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-09-18",
        "last_updated": "2013-09-18",
        "status": "A",
        "authorized_official_last_name": "NUELLE",
        "authorized_official_first_name": "SHELLEY",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "217-821-9539"
    },
    "taxonomies": [
        {
            "code": "320700000X",
            "taxonomy_group": "",
            "desc": "Residential Treatment Facility, Physical Disabilities",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "The Glenwood of Mt. Zion",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Linda Cheng, C.R.N.A.
• Yee-Sheng Chiu, M.D.
• Howard B Chodash, M.D.
• Christian Social Services of Illinois
• Dong Joon Chung, MD
• Christie M Clark, OT
• Teresa Diane Clark, RN
• Connie L Coatney, LPN
• Michael Arthur Cochran, RPH
• Allison Anne Cogar, M.D.

• Physical Disabilities Residential Treatment Facility in Effingham, IL
• Providers in Effingham, IL by specialty
• Physical Disabilities Residential Treatment Facility in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 18, 2013; 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.