Northwestern Il Community Action Agency

Primary specialty

Community/Behavioral Health AgencyTaxonomy code 251S00000X

Legal business name

NORTHWESTERN IL COMMUNITY ACTION AGENCY

Doing business as

Nicaa

Practice address

27 S State Ave Ste 102
Freeport, IL 61032-4210

Phone

(815) 656-2669

Fax

(815) 232-3143

NPI assigned

Nov 21, 2024

Last updated

Nov 21, 2024By 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

Elisha Walker

Title

Executive Director

Phone

(815) 656-2669

Specialties & licenses 1

Addresses

Other names 1

• NICAA Doing business as

Subparts reporting this organization as parent 1

Organizations that report themselves as subparts in NPPES and name this organization, in the same state, as their parent.

• Northwestern Il Community Action Agency - Senior Citizens Services

  dba Golden Meals

  • Home Delivered Meals
  • Freeport, IL
  • NPI 1285451971
  NPPES parent name

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

{
    "created_epoch": "1732147200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1732147200000",
    "number": "1184449423",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "27 S STATE AVE STE 102",
            "city": "FREEPORT",
            "state": "IL",
            "postal_code": "610324210",
            "telephone_number": "815-656-2669",
            "fax_number": "815-232-3143"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "27 S STATE AVE STE 102",
            "city": "FREEPORT",
            "state": "IL",
            "postal_code": "610324210",
            "telephone_number": "815-656-2669",
            "fax_number": "815-232-3143"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NORTHWESTERN IL COMMUNITY ACTION AGENCY",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-11-21",
        "last_updated": "2024-11-21",
        "certification_date": "2024-11-21",
        "status": "A",
        "authorized_official_last_name": "WALKER",
        "authorized_official_first_name": "ELISHA",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "815-656-2669"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "NICAA",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Howard Anthony Norman, R.PH.
• Northern Illinois Physical Therapy Services PC
• Northern Illinois Podiatry PC
• Northwest Eyecare PC
• Northwest Special Education Cooperative
• Northwestern Il Community Action Agency - Senior Citizens Services (Golden Meals)
• Oakley Courts Assisted Living Community
• Nkiruka Okafor
• Elmedina Omerovic
• Connie Lynn Onley

• Community/Behavioral Health Agency in Freeport, IL
• Providers in Freeport, IL by specialty
• Community/Behavioral Health Agency in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 21, 2024; 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.