Clark Cochonour

Primary specialty

Personal Care AttendantTaxonomy code 3747P1801X

Practice address

10728 N Milam LN
Casey, IL 62420-3548

Phone

(217) 508-9911

NPI assigned

Jun 6, 2023

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Kids Home Care, Inc.

  • Personal Care Attendant
  • Casey, IL
  • NPI 1790479335
  NPD

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

{
    "created_epoch": "1686009600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1686009600000",
    "number": "1689368227",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10728 N MILAM LN",
            "city": "CASEY",
            "state": "IL",
            "postal_code": "624203548",
            "telephone_number": "217-508-9911"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10728 N MILAM LN",
            "city": "CASEY",
            "state": "IL",
            "postal_code": "624203548",
            "telephone_number": "217-508-9911"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "COCHONOUR",
        "first_name": "CLARK",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2023-06-06",
        "last_updated": "2023-06-06",
        "certification_date": "2023-06-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "3747P1801X",
            "taxonomy_group": "",
            "desc": "Technician, Personal Care Attendant",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Casey Hco, LLC
• Casey Hco, LLC
• Casey Rehab and Nursing LLC
• Casey Westfield Community Unit School District C-4
• Champion Fitness, Inc
• Gena Cochonour
• Lyn Michele Cochonour
• Katherine Disch
• Robert Lee Dougherty, PA-C
• Kristi Esker, NP

• Personal Care Attendant in Casey, IL
• Providers in Casey, IL by specialty
• Personal Care Attendant in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 6, 2023; 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.