Active NPI
Barbara Olson Center of Hope
- Developmentally Disabled Services Day Training Agency
- Rockford, IL
National Provider Identifier
1356596753
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Developmentally Disabled Services Day Training Agency
- Legal business name
- BARBARA OLSON CENTER OF HOPE
- Practice address
- 3206 N Central Ave
Rockford, IL 61101-1756 - Phone
- (815) 964-9275
- Fax
- (815) 964-9607
- NPI assigned
- Nov 26, 2008
- Last updated
- Nov 21, 2011
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Ms. Carm Herman
- Title
- Executive Director
- Phone
- (815) 964-9275
Specialties & licenses 8
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Registered Nurse | 163W00000X | |||
| Occupational Therapy Assistant | 224Z00000X | |||
| Occupational Therapist | 225X00000X | |||
| Feeding, Eating & Swallowing Occupational Therapist | 225XF0002X | |||
| Human Factors Occupational Therapist | 225XH1300X | |||
| Neurorehabilitation Occupational Therapist | 225XN1300X | |||
| Physical Rehabilitation Occupational Therapist | 225XP0019X | |||
| Developmentally Disabled Services Day Training Agency | 251C00000X | Primary |
Addresses
Primary practice location
3206 N Central Ave
Rockford, IL 61101-1756
Mailing address
3206 N Central Ave
Rockford, IL 61101-1756
Phone (815) 964-9275
National Provider Directory
National Provider DirectoryLocations
3206 N Central Ave
Rockford, IL 61101
Phone (815) 964-9275
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.
-
- Social Worker
- Rockford, IL
- NPI 1528416377
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1227657600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1321833600000",
"number": "1356596753",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3206 N CENTRAL AVE",
"city": "ROCKFORD",
"state": "IL",
"postal_code": "611011756",
"telephone_number": "815-964-9275",
"fax_number": "815-964-9607"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3206 N CENTRAL AVE",
"city": "ROCKFORD",
"state": "IL",
"postal_code": "611011756",
"telephone_number": "815-964-9275",
"fax_number": "815-964-9607"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "BARBARA OLSON CENTER OF HOPE",
"organizational_subpart": "NO",
"enumeration_date": "2008-11-26",
"last_updated": "2011-11-21",
"status": "A",
"authorized_official_last_name": "HERMAN",
"authorized_official_first_name": "CARM",
"authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
"authorized_official_telephone_number": "815-964-9275",
"authorized_official_name_prefix": "Ms."
},
"taxonomies": [
{
"code": "163W00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Registered Nurse",
"state": null,
"license": null,
"primary": false
},
{
"code": "224Z00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Occupational Therapy Assistant",
"state": null,
"license": null,
"primary": false
},
{
"code": "225X00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Occupational Therapist",
"state": null,
"license": null,
"primary": false
},
{
"code": "225XF0002X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Occupational Therapist, Feeding, Eating & Swallowing",
"state": null,
"license": null,
"primary": false
},
{
"code": "225XH1300X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Occupational Therapist, Human Factors",
"state": null,
"license": null,
"primary": false
},
{
"code": "225XN1300X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Occupational Therapist, Neurorehabilitation",
"state": null,
"license": null,
"primary": false
},
{
"code": "225XP0019X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Occupational Therapist, Physical Rehabilitation",
"state": null,
"license": null,
"primary": false
},
{
"code": "251C00000X",
"taxonomy_group": "",
"desc": "Day Training, Developmentally Disabled Services",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Rockford, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 21, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.