Community Service Options for Rock Island Mercer Counties

Primary specialty

Case Management AgencyTaxonomy code 251B00000X

Legal business name

COMMUNITY SERVICE OPTIONS FOR ROCK ISLAND MERCER COUNTIES

Practice address

3601 Morton Dr
Suite 1
East Moline, IL 61244-1917

Phone

(309) 278-0020

Fax

(309) 278-0024

NPI assigned

Mar 1, 2007

Organization subpart

No

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

Authorized official

Name

Mrs. Dawn Marie Imel

Title

Executive Director

Phone

(309) 278-0020

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1172707200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1245368489",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3601 MORTON DR",
            "address_2": "SUITE 1",
            "city": "EAST MOLINE",
            "state": "IL",
            "postal_code": "612441917",
            "telephone_number": "309-278-0020",
            "fax_number": "309-278-0024"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3601 MORTON DR",
            "address_2": "SUITE 1",
            "city": "EAST MOLINE",
            "state": "IL",
            "postal_code": "612441917",
            "telephone_number": "309-278-0020",
            "fax_number": "309-278-0024"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COMMUNITY SERVICE OPTIONS FOR ROCK ISLAND MERCER COUNTIES",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-01",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "IMEL",
        "authorized_official_first_name": "DAWN",
        "authorized_official_middle_name": "MARIE",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "309-278-0020",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "251B00000X",
            "taxonomy_group": "",
            "desc": "Case Management",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Emily Elizabeth Cavanagh, SLP-CCC
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• County of Rock Island
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• James Howard Crawford Jr., LCSW
• CRG Em Operator, LLC

• Case Management Agency in East Moline, IL
• Providers in East Moline, 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 Aug 22, 2020; 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.