Northwestern Il Community Action Agency - Senior Citizens Services

Primary specialty

Home Delivered MealsTaxonomy code 332U00000X

Legal business name

NORTHWESTERN IL COMMUNITY ACTION AGENCY - SENIOR CITIZENS SERVICES

Practice address

524 W Stephenson St Ste 4
Freeport, IL 61032-5003

Phone

(815) 232-8896

Fax

(815) 232-5605

NPI assigned

Sep 24, 2024

Organization subpart

Yes

Parent organization

NORTHWESTERN IL COMMUNITY ACTION AGENCYAs reported in NPPES

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

• Golden Meals Doing business as

Part of

Northwestern Il Community Action Agency

Locations

Parent organization (reported in NPPES) 1

This organization reports itself as a subpart in NPPES; the parent’s legal name matches this organization in the same state.

• Northwestern Il Community Action Agency

  • Community/Behavioral Health Agency
  • Freeport, IL
  • NPI 1184449423
  NPPES parent name

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

{
    "created_epoch": "1727136000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1727136000000",
    "number": "1285451971",
    "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": "815-232-3141",
            "fax_number": "815-232-3143"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "524 W STEPHENSON ST STE 4",
            "city": "FREEPORT",
            "state": "IL",
            "postal_code": "610325003",
            "telephone_number": "815-232-8896",
            "fax_number": "815-232-5605"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1207 W 9th St",
            "address_purpose": "LOCATION",
            "city": "Sterling",
            "state": "IL",
            "postal_code": "610812022",
            "country_code": "US",
            "telephone_number": "815-626-4442",
            "fax_number": "815-626-2892",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "NORTHWESTERN IL COMMUNITY ACTION AGENCY - SENIOR CITIZENS SERVICES",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "NORTHWESTERN IL COMMUNITY ACTION AGENCY",
        "enumeration_date": "2024-09-24",
        "last_updated": "2024-09-24",
        "certification_date": "2024-09-24",
        "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": "332U00000X",
            "taxonomy_group": "",
            "desc": "Home Delivered Meals",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Golden Meals",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• All providers in Freeport, IL
• Home Delivered Meals in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 24, 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.