C.E.F.S. Economic Opportunity Corporation

Primary specialty

Home Delivered MealsTaxonomy code 332U00000X

Legal business name

C.E.F.S. ECONOMIC OPPORTUNITY CORPORATION

Doing business as

Golden Circle Nutrition Program

Practice address

1805 S Banker St
Effingham, IL 62401-2765

Phone

(217) 342-2193

Fax

(217) 342-4701

NPI assigned

Jul 26, 2016

Organization subpart

Yes

Parent organization

C.E.F.S. ECONOMIC OPPORTUNITY CORPORATIONAs reported in NPPES

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

Authorized official

Name

Amy Ellis

Title

GCNP Specialist

Phone

(217) 342-2193

Specialties & licenses 1

Addresses

Other names 1

• Golden Circle Nutrition Program Doing business as

Part of

Cefs Economic Opportunity Corporation

Locations

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

{
    "created_epoch": "1469491200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1469491200000",
    "number": "1316490428",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1805 S BANKER ST",
            "city": "EFFINGHAM",
            "state": "IL",
            "postal_code": "624012765",
            "telephone_number": "217-342-2193",
            "fax_number": "217-342-4701"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1805 S BANKER ST",
            "city": "EFFINGHAM",
            "state": "IL",
            "postal_code": "624012765",
            "telephone_number": "217-342-2193",
            "fax_number": "217-342-4701"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "C.E.F.S. ECONOMIC OPPORTUNITY CORPORATION",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "C.E.F.S. ECONOMIC OPPORTUNITY CORPORATION",
        "enumeration_date": "2016-07-26",
        "last_updated": "2016-07-26",
        "status": "A",
        "authorized_official_last_name": "ELLIS",
        "authorized_official_first_name": "AMY",
        "authorized_official_title_or_position": "GCNP SPECIALIST",
        "authorized_official_telephone_number": "217-342-2193"
    },
    "taxonomies": [
        {
            "code": "332U00000X",
            "taxonomy_group": "",
            "desc": "Home Delivered Meals",
            "state": "IL",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Golden Circle Nutrition Program",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Van Thuy Thi Bui, D.M.D.
• Kelly Jo Buscher, B.A. M.H.P.
• Kevin Bushur, MS/LCPC
• Vickie Sue Bushur, FNP-BC
• Bradley Allen Butts, MHP
• Allison Nichole Cain, D.C.
• Kevin A Calder, MD
• Calming the Cortex Counseling, PLLC (Calming the Cortex)
• Gregory J Campos, DMD
• Jennifer Lynn Carder

• Home Delivered Meals in Effingham, IL
• Providers in Effingham, IL by specialty
• Home Delivered Meals in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 26, 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.