Epilepsy Association of Rock River Valley, Inc

Primary specialty

Case Management AgencyTaxonomy code 251B00000X

Legal business name

EPILEPSY ASSOCIATION OF ROCK RIVER VALLEY, INC

Practice address

321 W State St
Suite 208
Rockford, IL 61101-1137

Phone

(815) 964-2689

NPI assigned

May 11, 2007

Organization subpart

No

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

Authorized official

Name

Nancy Ellen Warden

Title

Director of Administrative SVC

Phone

(815) 964-2689

Specialties & licenses 1

Addresses

Other names 1

• Epilepsy Foundation North Central Illinois Other name

Locations

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

{
    "created_epoch": "1178841600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1528273653",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "321 W STATE ST",
            "address_2": "SUITE 208",
            "city": "ROCKFORD",
            "state": "IL",
            "postal_code": "611011137",
            "telephone_number": "815-964-2689"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "321 W STATE ST",
            "address_2": "SUITE 208",
            "city": "ROCKFORD",
            "state": "IL",
            "postal_code": "611011137",
            "telephone_number": "815-964-2689"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EPILEPSY ASSOCIATION OF ROCK RIVER VALLEY, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-11",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "WARDEN",
        "authorized_official_first_name": "NANCY",
        "authorized_official_middle_name": "ELLEN",
        "authorized_official_title_or_position": "DIRECTOR OF ADMINISTRATIVE SVC",
        "authorized_official_telephone_number": "815-964-2689"
    },
    "taxonomies": [
        {
            "code": "251B00000X",
            "taxonomy_group": "",
            "desc": "Case Management",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Epilepsy Foundation North Central Illinois",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

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• Case Management Agency in Rockford, IL
• Providers in Rockford, IL by specialty
• Case Management Agency in Illinois

• 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.

Verify at the official NPI Registry.