Organization Active NPI

Timmy Community Connections

  • Community/Behavioral Health Agency
  • Chicago, IL
National Provider Identifier
1689261083
Registry record updated Mar 7, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
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

Updated by the provider on Mar 7, 2022

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)CodeLicenseStatePrimary
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 Directory

Locations

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.

Verify at the official NPI Registry.