Organization Active NPI

S P I R I T Center NFP

  • Community Health Worker
  • Woodstock, IL
National Provider Identifier
1548073208
Registry record updated Jan 30, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community Health WorkerTaxonomy code 172V00000X
Legal business name
S P I R I T CENTER NFP
Practice address
12618 Davis Rd
Woodstock, IL 60098-9253
Phone
(815) 861-5448
NPI assigned
Jan 28, 2025
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 30, 2025

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

Authorized official

Name
Serena FranckowiakNPI 1902619166
Title
Director
Phone
(815) 861-5448

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community Health WorkerGroup: 193400000X SINGLE SPECIALTY GROUP 172V00000X Primary

Addresses

Primary practice location

12618 Davis Rd
Woodstock, IL 60098-9253

Mailing address

12618 Davis Rd
Woodstock, IL 60098-9253
Phone (815) 861-5448

Other names 1

  • SPIRIT Center Other name

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1738022400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1738195200000",
    "number": "1548073208",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12618 DAVIS RD",
            "city": "WOODSTOCK",
            "state": "IL",
            "postal_code": "600989253",
            "telephone_number": "815-861-5448"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12618 DAVIS RD",
            "city": "WOODSTOCK",
            "state": "IL",
            "postal_code": "600989253",
            "telephone_number": "815-861-5448"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "S P I R I T CENTER NFP",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-01-28",
        "last_updated": "2025-01-30",
        "certification_date": "2025-01-30",
        "status": "A",
        "authorized_official_last_name": "FRANCKOWIAK",
        "authorized_official_first_name": "SERENA",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "815-861-5448"
    },
    "taxonomies": [
        {
            "code": "172V00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Community Health Worker",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "SPIRIT Center",
            "code": "4",
            "type": "Former Legal Business Name"
        },
        {
            "organization_name": "SPIRIT Center",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Woodstock, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 30, 2025; 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.