NPIMap

Organization Active NPI

Aging Care Connections

  • Case Management Agency
  • La Grange, IL
National Provider Identifier
1679959555
Registry record updated Jul 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Case Management AgencyTaxonomy code 251B00000X
Legal business name
AGING CARE CONNECTIONS
Practice address
111 W Harris Ave
La Grange, IL 60525-2336
Phone
(708) 354-1323
Fax
(708) 354-0282
NPI assigned
Aug 3, 2015
Last updated
Jul 21, 2022By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 21, 2022

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

Authorized official

Name
Ms. Debra Verschelde
Title
Executive Director
Phone
(708) 354-1323

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Case Management Agency 251B00000X NU Primary
Voluntary or Charitable Agency 251V00000X IL

Addresses

Primary practice location

111 W Harris Ave
La Grange, IL 60525-2336

Mailing address

111 W Harris Ave
La Grange, IL 60525-2336
Phone (708) 354-1323

National Provider Directory

National Provider Directory

Locations

111 W Harris Ave
Lagrange Hlds, IL 60525
Phone (708) 354-1323

Practitioners & affiliated clinicians

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1438560000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1658361600000",
    "number": "1679959555",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "111 W HARRIS AVE",
            "city": "LA GRANGE",
            "state": "IL",
            "postal_code": "605252336",
            "telephone_number": "708-354-1323",
            "fax_number": "708-354-0282"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "111 W HARRIS AVE",
            "city": "LA GRANGE",
            "state": "IL",
            "postal_code": "605252336",
            "telephone_number": "708-354-1323",
            "fax_number": "708-354-0282"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AGING CARE CONNECTIONS",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-08-03",
        "last_updated": "2022-07-21",
        "status": "A",
        "authorized_official_last_name": "VERSCHELDE",
        "authorized_official_first_name": "DEBRA",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "708-354-1323",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "251B00000X",
            "taxonomy_group": "",
            "desc": "Case Management",
            "state": "NU",
            "license": null,
            "primary": true
        },
        {
            "code": "251V00000X",
            "taxonomy_group": "",
            "desc": "Voluntary or Charitable",
            "state": "IL",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in La Grange, IL

Sources for this page

  • 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.