NPIMap

Organization Active NPI

Champaign County Head Start

  • Early Intervention Provider Agency
  • Urbana, IL
National Provider Identifier
1730312695
Registry record updated Aug 26, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Early Intervention Provider AgencyTaxonomy code 252Y00000X
License
245407-07 Issued in IL
Legal business name
CHAMPAIGN COUNTY HEAD START
Practice address
1776 E Washington St
Urbana, IL 61802-4578
Phone
(217) 328-3313
Fax
(217) 328-2426
NPI assigned
Aug 26, 2009
Organization subpart
Yes
Parent organization
CHAMPAIGN CO. REGIONAL PLANNING COMMISSIONAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Aug 26, 2009

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

Authorized official

Name
Mrs. Kathleen Liffick
Title
Head Start Director
Phone
(217) 328-3313

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Early Intervention Provider Agency 252Y00000X 245407-07 IL Primary

Addresses

Primary practice location

1776 E Washington St
Urbana, IL 61802-4578

Mailing address

1776 E Washington St
Urbana, IL 61802-4578
Phone (217) 328-3313

National Provider Directory

National Provider Directory
Tax ID family
Champaign County Head Start3 organizations share this tax ID, including this one
Part of
Champaign County Head Start

Other organizations with this tax ID 2

Organizations that report the same tax identification number in the National Provider Directory.

NPI Registry JSON

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

{
    "created_epoch": "1251244800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1251244800000",
    "number": "1730312695",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1776 E WASHINGTON ST",
            "city": "URBANA",
            "state": "IL",
            "postal_code": "618024578",
            "telephone_number": "217-328-3313",
            "fax_number": "217-328-2426"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1776 E WASHINGTON ST",
            "city": "URBANA",
            "state": "IL",
            "postal_code": "618024578",
            "telephone_number": "217-328-3313",
            "fax_number": "217-328-2426"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CHAMPAIGN COUNTY HEAD START",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "CHAMPAIGN CO. REGIONAL PLANNING COMMISSION",
        "enumeration_date": "2009-08-26",
        "last_updated": "2009-08-26",
        "status": "A",
        "authorized_official_last_name": "LIFFICK",
        "authorized_official_first_name": "KATHLEEN",
        "authorized_official_title_or_position": "HEAD START DIRECTOR",
        "authorized_official_telephone_number": "217-328-3313",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "252Y00000X",
            "taxonomy_group": "",
            "desc": "Early Intervention Provider Agency",
            "state": "IL",
            "license": "245407-07",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Urbana, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 26, 2009; 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.