Illinois Rural Community Care Organization

Primary specialty

Case Management AgencyTaxonomy code 251B00000X

License

041269745 Issued in IL

Legal business name

ILLINOIS RURAL COMMUNITY CARE ORGANIZATION

Practice address

245 Backbone Rd E
Princeton, IL 61356-8652

Phone

(815) 875-2999

NPI assigned

May 14, 2015

Last updated

May 14, 2015By 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

Angela Charlet, RN

Title

Director of Quality

Phone

(815) 875-2999

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1431561600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1431561600000",
    "number": "1114305778",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "245 BACKBONE RD E",
            "city": "PRINCETON",
            "state": "IL",
            "postal_code": "613568652",
            "telephone_number": "815-875-2999"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "245 BACKBONE RD E",
            "city": "PRINCETON",
            "state": "IL",
            "postal_code": "613568652",
            "telephone_number": "815-875-2999"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ILLINOIS RURAL COMMUNITY CARE ORGANIZATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-05-14",
        "last_updated": "2015-05-14",
        "status": "A",
        "authorized_official_last_name": "CHARLET",
        "authorized_official_first_name": "ANGELA",
        "authorized_official_title_or_position": "DIRECTOR OF QUALITY",
        "authorized_official_telephone_number": "815-875-2999",
        "authorized_official_credential": "RN"
    },
    "taxonomies": [
        {
            "code": "251B00000X",
            "taxonomy_group": "",
            "desc": "Case Management",
            "state": "IL",
            "license": "041269745",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Case Management Agency in Princeton, IL
• Providers in Princeton, IL by specialty
• Case Management Agency in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 14, 2015; 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.