Effingham City/County Commitee on Aging

Primary specialty

Case Manager/Care CoordinatorTaxonomy code 171M00000X

Legal business name

EFFINGHAM CITY/COUNTY COMMITEE ON AGING

Practice address

209 S. Merchant St.
Effingham, IL 62401-0631

Phone

(217) 347-5215

Fax

(217) 342-9798

NPI assigned

Nov 21, 2017

Organization subpart

Yes

Parent organization

EFFINGHAM CITY/COUNTY COMMITEE ON AGINGAs reported in NPPES

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

Authorized official

Name

Linda Hubbartt

Title

Executive Director

Phone

(217) 347-5215

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• ECCOA Doing business as

Part of

Effingham Citycounty Commitee on Aging

Locations

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

{
    "created_epoch": "1511222400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1511222400000",
    "number": "1477067965",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 631",
            "city": "EFFINGHAM",
            "state": "IL",
            "postal_code": "624010631",
            "telephone_number": "217-347-5215",
            "fax_number": "217-342-9798"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "209 S. MERCHANT ST.",
            "city": "EFFINGHAM",
            "state": "IL",
            "postal_code": "624010631",
            "telephone_number": "217-347-5215",
            "fax_number": "217-342-9798"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EFFINGHAM CITY/COUNTY COMMITEE ON AGING",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "EFFINGHAM CITY/COUNTY COMMITEE ON AGING",
        "enumeration_date": "2017-11-21",
        "last_updated": "2017-11-21",
        "status": "A",
        "authorized_official_last_name": "HUBBARTT",
        "authorized_official_first_name": "LINDA",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "217-347-5215"
    },
    "taxonomies": [
        {
            "code": "171M00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Case Manager/Care Coordinator",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "830662",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "ECCOA",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Kaitlyn Eade, BA
• Susan Ealy, RD
• Frank M Eaton, MD
• Effingham Catholic Charities
• Effingham Catholic Charities
• Effingham Community Unit School Dist 40
• Effingham Endodontist
• Effingham Estates, LLC
• Effingham Eye Clinic, S.C.
• Effingham Family Dental LTD

• Case Manager/Care Coordinator in Effingham, IL
• Providers in Effingham, IL by specialty
• Case Manager/Care Coordinator in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 21, 2017; 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.