NPIMap

Organization Active NPI

Jefferson County Comprehensive Services Vocational

Doing business as Comprehensive Connections

  • Developmentally Disabled Services Day Training Agency
  • Mount Vernon, IL
National Provider Identifier
1205285186
Registry record updated Jun 10, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Developmentally Disabled Services Day Training AgencyTaxonomy code 251C00000X
License
199200159S Issued in IL
Legal business name
JEFFERSON COUNTY COMPREHENSIVE SERVICES VOCATIONAL
Doing business as
Comprehensive Connections
Practice address
16352 N Il Highway 37
Mount Vernon, IL 62864-8178
Phone
(618) 244-1510
Fax
(618) 242-6392
NPI assigned
Jun 10, 2016
Last updated
Jun 10, 2016By the provider in NPPES
Organization subpart
Yes
Parent organization
JEFFERSON COUNTY COMPREHENSIVE SERVICESAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Jun 10, 2016

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

Authorized official

Name
Mrs. Deborah Holsapple, EXECUTIVE DIRECTOR
Title
Executive Director
Phone
(618) 242-1510

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Developmentally Disabled Services Day Training Agency 251C00000X 199200159S IL Primary

Addresses

Primary practice location

16352 N Il Highway 37
Mount Vernon, IL 62864-8178

Mailing address

16338 N Il Highway 37
Mount Vernon, IL 62864-8178
Phone (618) 242-1510

Other names 1

  • Comprehensive Connections Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Jefferson Co Comp Serv5 organizations share this tax ID, including this one
Part of
Jefferson Co Comp Serv

Other organizations with this tax ID 4

Organizations that report the same tax identification number in the National Provider Directory.

Locations

16352 N IL Highway 37
Mount Vernon, IL 62864
Phone (618) 244-1510

NPI Registry JSON

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

{
    "created_epoch": "1465516800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1465516800000",
    "number": "1205285186",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "16338 N IL HIGHWAY 37",
            "city": "MOUNT VERNON",
            "state": "IL",
            "postal_code": "628648178",
            "telephone_number": "618-242-1510",
            "fax_number": "618-242-6392"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "16352 N IL HIGHWAY 37",
            "city": "MOUNT VERNON",
            "state": "IL",
            "postal_code": "628648178",
            "telephone_number": "618-244-1510",
            "fax_number": "618-242-6392"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JEFFERSON COUNTY COMPREHENSIVE SERVICES VOCATIONAL",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "JEFFERSON COUNTY COMPREHENSIVE SERVICES",
        "enumeration_date": "2016-06-10",
        "last_updated": "2016-06-10",
        "status": "A",
        "authorized_official_last_name": "HOLSAPPLE",
        "authorized_official_first_name": "DEBORAH",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "618-242-1510",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "EXECUTIVE DIRECTOR"
    },
    "taxonomies": [
        {
            "code": "251C00000X",
            "taxonomy_group": "",
            "desc": "Day Training, Developmentally Disabled Services",
            "state": "IL",
            "license": "199200159S",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Comprehensive Connections",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Mount Vernon, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 10, 2016; 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.