Organization Active NPI

Neighborhood House Association

  • Home Delivered Meals
  • Peoria, IL
National Provider Identifier
1174922819
Registry record updated Aug 19, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Delivered MealsTaxonomy code 332U00000X
Legal business name
NEIGHBORHOOD HOUSE ASSOCIATION
Practice address
1020 S Matthew St
Peoria, IL 61605-3546
Phone
(309) 674-1131
Fax
(309) 674-1896
NPI assigned
Aug 19, 2014
Last updated
Aug 19, 2014By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 19, 2014

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

Authorized official

Name
Karen Long
Title
Director Senior Nutrition
Phone
(309) 674-1131

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Home Delivered Meals 332U00000X Primary

Addresses

Primary practice location

1020 S Matthew St
Peoria, IL 61605-3546

Mailing address

1020 S Matthew St
Peoria, IL 61605-3546
Phone (309) 674-1131

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1408406400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1408406400000",
    "number": "1174922819",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1020 S MATTHEW ST",
            "city": "PEORIA",
            "state": "IL",
            "postal_code": "616053546",
            "telephone_number": "309-674-1131",
            "fax_number": "309-674-1896"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1020 S MATTHEW ST",
            "city": "PEORIA",
            "state": "IL",
            "postal_code": "616053546",
            "telephone_number": "309-674-1131",
            "fax_number": "309-674-1896"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NEIGHBORHOOD HOUSE ASSOCIATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-08-19",
        "last_updated": "2014-08-19",
        "status": "A",
        "authorized_official_last_name": "LONG",
        "authorized_official_first_name": "KAREN",
        "authorized_official_title_or_position": "DIRECTOR SENIOR NUTRITION",
        "authorized_official_telephone_number": "309-674-1131"
    },
    "taxonomies": [
        {
            "code": "332U00000X",
            "taxonomy_group": "",
            "desc": "Home Delivered Meals",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Peoria, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 19, 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.