Two Rivers Head Start Agency

Primary specialty

Voluntary or Charitable AgencyTaxonomy code 251V00000X

License

E9981845005 Issued in IL

Legal business name

TWO RIVERS HEAD START AGENCY

Practice address

1661 Landmark Rd
Aurora, IL 60506-1146

Phone

(630) 264-1444

Fax

(630) 264-1151

NPI assigned

Dec 3, 2010

Organization subpart

No

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

Authorized official

Name

Diane Lacey

Title

Executive Director

Phone

(630) 264-1444

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1291334400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1291334400000",
    "number": "1790087294",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1661 LANDMARK RD",
            "city": "AURORA",
            "state": "IL",
            "postal_code": "605061146",
            "telephone_number": "630-264-1444",
            "fax_number": "630-264-1151"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1661 LANDMARK RD",
            "city": "AURORA",
            "state": "IL",
            "postal_code": "605061146",
            "telephone_number": "630-264-1444",
            "fax_number": "630-264-1151"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TWO RIVERS HEAD START AGENCY",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-12-03",
        "last_updated": "2010-12-03",
        "status": "A",
        "authorized_official_last_name": "LACEY",
        "authorized_official_first_name": "DIANE",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "630-264-1444"
    },
    "taxonomies": [
        {
            "code": "251V00000X",
            "taxonomy_group": "",
            "desc": "Voluntary or Charitable",
            "state": "IL",
            "license": "E9981845005",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Voluntary or Charitable Agency in Aurora, IL
• Providers in Aurora, IL by specialty
• Voluntary or Charitable Agency in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 3, 2010; 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.