Active NPI
Disability Management Network
- Case Management Agency
- Rockford, IL
National Provider Identifier
1427069145
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Case Management Agency
- Legal business name
- DISABILITY MANAGEMENT NETWORK
- Practice address
- 6723 Weaver Rd.
Ste. 108
Rockford, IL 61114-8052 - Phone
- (815) 633-0880
- Fax
- (815) 633-4740
- NPI assigned
- Aug 10, 2006
- Last updated
- Aug 22, 2020
- 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
- Mrs. Constance Sue Mara, C.O.H.N.-S, C.C.M.
- Title
- R.N.
- Phone
- (815) 262-0442
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Case Management Agency | 251B00000X | IL | Primary |
Addresses
Primary practice location
6723 Weaver Rd.
Ste. 108
Rockford, IL 61114-8052
Mailing address
6723 Weaver Rd
Suite 108
Rockford, IL 61114-8052
Phone (815) 633-0880
National Provider Directory
National Provider DirectoryLocations
6723 Weaver Rd
Ste 108
Rockford, IL 61114
Phone (815) 633-0880
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1155168000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1598054400000",
"number": "1427069145",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6723 WEAVER RD",
"address_2": "SUITE 108",
"city": "ROCKFORD",
"state": "IL",
"postal_code": "611148052",
"telephone_number": "815-633-0880",
"fax_number": "815-633-4740"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6723 WEAVER RD.",
"address_2": "STE. 108",
"city": "ROCKFORD",
"state": "IL",
"postal_code": "611148052",
"telephone_number": "815-633-0880",
"fax_number": "815-633-4740"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "DISABILITY MANAGEMENT NETWORK",
"organizational_subpart": "NO",
"enumeration_date": "2006-08-10",
"last_updated": "2020-08-22",
"status": "A",
"authorized_official_last_name": "MARA",
"authorized_official_first_name": "CONSTANCE",
"authorized_official_middle_name": "SUE",
"authorized_official_title_or_position": "R.N.",
"authorized_official_telephone_number": "815-262-0442",
"authorized_official_name_prefix": "Mrs.",
"authorized_official_credential": "C.O.H.N.-S, C.C.M."
},
"taxonomies": [
{
"code": "251B00000X",
"taxonomy_group": "",
"desc": "Case Management",
"state": "IL",
"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 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.