Organization Active NPI

Ucp Land of Lincoln

  • Child Intellectual and/or Developmental Disabilities Respite Care
  • Springfield, IL
National Provider Identifier
1659745503
Registry record updated Nov 16, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Child Intellectual and/or Developmental Disabilities Respite CareTaxonomy code 385HR2060X
Legal business name
UCP LAND OF LINCOLN
Practice address
101 N 16TH St
Springfield, IL 62703-1101
Phone
(217) 525-6522
Fax
(217) 525-9017
NPI assigned
Nov 16, 2015
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 16, 2015

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

Authorized official

Name
Brenda L Yarnell, PHD
Title
President/Ceo
Phone
(217) 525-6522

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Child Intellectual and/or Developmental Disabilities Respite Care 385HR2060X Primary

Addresses

Primary practice location

101 N 16TH St
Springfield, IL 62703-1101

Mailing address

101 N 16TH St
Springfield, IL 62703-1101
Phone (217) 525-6522

National Provider Directory

National Provider Directory

Locations

101 N 16th St
Springfield, IL 62703
Phone (217) 525-6522

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": "1447632000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1447632000000",
    "number": "1659745503",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "101 N 16TH ST",
            "city": "SPRINGFIELD",
            "state": "IL",
            "postal_code": "627031101",
            "telephone_number": "217-525-6522",
            "fax_number": "217-525-9017"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "101 N 16TH ST",
            "city": "SPRINGFIELD",
            "state": "IL",
            "postal_code": "627031101",
            "telephone_number": "217-525-6522",
            "fax_number": "217-525-9017"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "UCP LAND OF LINCOLN",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-11-16",
        "last_updated": "2015-11-16",
        "status": "A",
        "authorized_official_last_name": "YARNELL",
        "authorized_official_first_name": "BRENDA",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "PRESIDENT/CEO",
        "authorized_official_telephone_number": "217-525-6522",
        "authorized_official_credential": "PHD"
    },
    "taxonomies": [
        {
            "code": "385HR2060X",
            "taxonomy_group": "",
            "desc": "Respite Care, Respite Care, Intellectual and/or Developmental Disabilities, Child",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Springfield, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 16, 2015; 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.