NPIMap

Organization Active NPI

East Central Illinois Area Agency on Aging, Inc.

  • Case Management Agency
  • Bloomington, IL
National Provider Identifier
1528538923
Registry record updated Nov 28, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Case Management AgencyTaxonomy code 251B00000X
Legal business name
EAST CENTRAL ILLINOIS AREA AGENCY ON AGING, INC.
Practice address
1003 Maple Hill Rd
Bloomington, IL 61705-9327
Phone
(309) 829-2065
Fax
(309) 829-6021
NPI assigned
Nov 28, 2018
Last updated
Nov 28, 2018By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 28, 2018

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

Authorized official

Name
Kelly Coffey
Title
Fiscal & Technology Manager
Phone
(309) 829-2065

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Case Management Agency 251B00000X NU Primary

Addresses

Primary practice location

1003 Maple Hill Rd
Bloomington, IL 61705-9327

Mailing address

1003 Maple Hill Rd
Bloomington, IL 61705-9327
Phone (309) 829-2065

National Provider Directory

National Provider Directory

Locations

1003 Maple Hill Rd
Bloomington, IL 61705
Phone (309) 829-2065

NPI Registry JSON

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

{
    "created_epoch": "1543363200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1543363200000",
    "number": "1528538923",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1003 MAPLE HILL RD",
            "city": "BLOOMINGTON",
            "state": "IL",
            "postal_code": "617059327",
            "telephone_number": "309-829-2065",
            "fax_number": "309-829-6021"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1003 MAPLE HILL RD",
            "city": "BLOOMINGTON",
            "state": "IL",
            "postal_code": "617059327",
            "telephone_number": "309-829-2065",
            "fax_number": "309-829-6021"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EAST CENTRAL ILLINOIS AREA AGENCY ON AGING, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-11-28",
        "last_updated": "2018-11-28",
        "status": "A",
        "authorized_official_last_name": "COFFEY",
        "authorized_official_first_name": "KELLY",
        "authorized_official_title_or_position": "FISCAL & TECHNOLOGY MANAGER",
        "authorized_official_telephone_number": "309-829-2065"
    },
    "taxonomies": [
        {
            "code": "251B00000X",
            "taxonomy_group": "",
            "desc": "Case Management",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bloomington, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 28, 2018; 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.