Active NPI
Timmy Community Connections
- Community/Behavioral Health Agency
- Chicago, IL
National Provider Identifier
1689261083
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Community/Behavioral Health Agency
- Legal business name
- TIMMY COMMUNITY CONNECTIONS
- Practice address
- 11001 S Michigan Ave Ste 103
Chicago, IL 60628-4308 - Phone
- (773) 313-9040
- NPI assigned
- Dec 31, 2020
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Alesia Carlock
- Title
- Owner
- Phone
- (224) 229-2029
Specialties & licenses 4
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Case Management Agency | 251B00000X | |||
| Public Health or Welfare Agency | 251K00000X | |||
| Community/Behavioral Health Agency | 251S00000X | Primary | ||
| Voluntary or Charitable Agency | 251V00000X |
Addresses
Primary practice location
11001 S Michigan Ave Ste 103
Chicago, IL 60628-4308
Mailing address
11001 S Michigan Ave Ste 103
Chicago, IL 60628-4308
Phone (773) 313-9040
National Provider Directory
National Provider DirectoryLocations
11001 S Michigan Ave
Ste 103
Chicago, IL 60628
Phone (773) 313-9040
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1609372800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1646611200000",
"number": "1689261083",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "11001 S MICHIGAN AVE STE 103",
"city": "CHICAGO",
"state": "IL",
"postal_code": "606284308",
"telephone_number": "773-313-9040"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "11001 S MICHIGAN AVE STE 103",
"city": "CHICAGO",
"state": "IL",
"postal_code": "606284308",
"telephone_number": "773-313-9040"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "TIMMY COMMUNITY CONNECTIONS",
"organizational_subpart": "NO",
"enumeration_date": "2020-12-31",
"last_updated": "2022-03-07",
"certification_date": "2022-03-07",
"status": "A",
"authorized_official_last_name": "CARLOCK",
"authorized_official_first_name": "ALESIA",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "224-229-2029"
},
"taxonomies": [
{
"code": "251B00000X",
"taxonomy_group": "",
"desc": "Case Management",
"state": null,
"license": null,
"primary": false
},
{
"code": "251K00000X",
"taxonomy_group": "",
"desc": "Public Health or Welfare",
"state": null,
"license": null,
"primary": false
},
{
"code": "251S00000X",
"taxonomy_group": "",
"desc": "Community/Behavioral Health",
"state": null,
"license": null,
"primary": true
},
{
"code": "251V00000X",
"taxonomy_group": "",
"desc": "Voluntary or Charitable",
"state": null,
"license": null,
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Chicago, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 7, 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.