Moultrie County Beacon

Primary specialty

Developmentally Disabled Services Day Training AgencyTaxonomy code 251C00000X

License

001 Issued in IL

Legal business name

MOULTRIE COUNTY BEACON

Practice address

401 W Water St
Sullivan, IL 61951-1883

Phone

(217) 728-7396

Fax

(217) 728-2217

NPI assigned

Jan 28, 2008

Organization subpart

No

Name

Mrs. Linda Kathy Thomas, LT 81590803 P

Title

Developmental Therapist

Phone

(217) 728-7396

Tax ID family

Moultrie County Beacon2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• Moultrie County Beacon, Inc.

  • Developmentally Disabled Services Day Training Agency
  • Sullivan, IL
  • NPI 1609228808
  NPD tax ID

Locations

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Jul 21, 2022.

{
    "created_epoch": "1201478400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1658361600000",
    "number": "1639356017",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "401 W WATER ST",
            "city": "SULLIVAN",
            "state": "IL",
            "postal_code": "619511883",
            "telephone_number": "217-728-7396",
            "fax_number": "217-728-2217"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "401 W WATER ST",
            "city": "SULLIVAN",
            "state": "IL",
            "postal_code": "619511883",
            "telephone_number": "217-728-7396",
            "fax_number": "217-728-2217"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MOULTRIE COUNTY BEACON",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-01-28",
        "last_updated": "2022-07-21",
        "status": "A",
        "authorized_official_last_name": "THOMAS",
        "authorized_official_first_name": "LINDA",
        "authorized_official_middle_name": "KATHY",
        "authorized_official_title_or_position": "DEVELOPMENTAL THERAPIST",
        "authorized_official_telephone_number": "217-728-7396",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "LT 81590803 P"
    },
    "taxonomies": [
        {
            "code": "251C00000X",
            "taxonomy_group": "",
            "desc": "Day Training, Developmentally Disabled Services",
            "state": "IL",
            "license": "001",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Medical Income Management Corp
• Macie Anna Miller
• Natalie Mitchem, BS
• Audrey Mosier, BS, MHP
• Moultrie Co
• Moultrie County Beacon, Inc.
• Moultrie County Mental Health Center
• Katrina Lynn Cook Murphy, MS, LCPC
• Murray Chiropractic and Acupuncture, LLC
• Ashley Neikirk

• All providers in Sullivan, IL
• 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 Jul 21, 2022; 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.