Worksource Enterprises

Primary specialty

Developmentally Disabled Services Day Training AgencyTaxonomy code 251C00000X

Legal business name

WORKSOURCE ENTERPRISES

Practice address

3715 N Vermilion St
Danville, IL 61832-1130

Phone

(217) 446-1146

Fax

(217) 446-1191

NPI assigned

Dec 10, 2015

Organization subpart

No

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

Authorized official

Name

Brandy Seabaugh

Title

VP Finances and Human Resources

Phone

(217) 446-1146

Specialties & licenses 1

Addresses

Other identifiers 2

Locations

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

{
    "created_epoch": "1449705600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1449705600000",
    "number": "1447625835",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3715 N VERMILION ST",
            "city": "DANVILLE",
            "state": "IL",
            "postal_code": "618321130",
            "telephone_number": "217-446-1146",
            "fax_number": "217-446-1191"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3715 N VERMILION ST",
            "city": "DANVILLE",
            "state": "IL",
            "postal_code": "618321130",
            "telephone_number": "217-446-1146",
            "fax_number": "217-446-1191"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WORKSOURCE ENTERPRISES",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-12-10",
        "last_updated": "2015-12-10",
        "status": "A",
        "authorized_official_last_name": "SEABAUGH",
        "authorized_official_first_name": "BRANDY",
        "authorized_official_title_or_position": "VP FINANCES AND HUMAN RESOURCES",
        "authorized_official_telephone_number": "217-446-1146"
    },
    "taxonomies": [
        {
            "code": "251C00000X",
            "taxonomy_group": "",
            "desc": "Day Training, Developmentally Disabled Services",
            "state": "IL",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3000006",
            "state": "IL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "7094638",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Wayne Thomas Wing, PA-C
• Travis Scott Winkler
• Danielle Marie Wleklinski
• Jeremiah Jordan Wojtowicz, PHARMD
• Peggy Ann Wolpert, CNP
• Jacquelyn Renee Worthington, RD, LD, CDE
• Amy Wozniak, LCSW
• Sharnetria Wright, PHARMD
• Staci Wright, SLP
• Sara E Yant, LCSW

• Developmentally Disabled Services Day Training Agency in Danville, IL
• Providers in Danville, IL by specialty
• Developmentally Disabled Services Day Training Agency in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 10, 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.