Organization Active NPI

Decatur Macon County Opportunity Corporation

  • Home Delivered Meals
  • Decatur, IL
National Provider Identifier
1245621184
Registry record updated Feb 13, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Delivered MealsTaxonomy code 332U00000X
Legal business name
DECATUR MACON COUNTY OPPORTUNITY CORPORATION
Doing business as
DMCOC
Practice address
1122 E Marietta St
Decatur, IL 62521-1324
Phone
(217) 428-0155
Fax
(217) 428-0169
NPI assigned
Feb 13, 2015
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 13, 2015

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

Authorized official

Name
Gail Evans
Title
Executive Director
Phone
(217) 428-0155

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Home Delivered Meals 332U00000X Primary

Addresses

Primary practice location

1122 E Marietta St
Decatur, IL 62521-1324

Mailing address

1122 E Marietta St
Decatur, IL 62521-1324
Phone (217) 428-0155

Other names 1

  • DMCOC Doing business as

National Provider Directory

National Provider Directory

Locations

1122 E Marietta St
Decatur, IL 62521
Phone (217) 428-0155

NPI Registry JSON

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

{
    "created_epoch": "1423785600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1423785600000",
    "number": "1245621184",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1122 E MARIETTA ST",
            "city": "DECATUR",
            "state": "IL",
            "postal_code": "625211324",
            "telephone_number": "217-428-0155",
            "fax_number": "217-428-0169"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1122 E MARIETTA ST",
            "city": "DECATUR",
            "state": "IL",
            "postal_code": "625211324",
            "telephone_number": "217-428-0155",
            "fax_number": "217-428-0169"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DECATUR MACON COUNTY OPPORTUNITY CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-02-13",
        "last_updated": "2015-02-13",
        "status": "A",
        "authorized_official_last_name": "EVANS",
        "authorized_official_first_name": "GAIL",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "217-428-0155"
    },
    "taxonomies": [
        {
            "code": "332U00000X",
            "taxonomy_group": "",
            "desc": "Home Delivered Meals",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "DMCOC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Decatur, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 13, 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.