Community Nutrition Network and Senior Services Assoc Cook County

Primary specialty

Home Delivered MealsTaxonomy code 332U00000X

Legal business name

COMMUNITY NUTRITION NETWORK AND SENIOR SERVICES ASSOC COOK COUNTY

Practice address

3239 Grove Ave
Suite 202
Berwyn, IL 60402-3468

Phone

(312) 207-5290

Fax

(312) 441-0641

NPI assigned

May 29, 2012

Organization subpart

No

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

Authorized official

Name

Ann McLone Cooper

Title

Chief Executive Officer

Phone

(312) 207-5290

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1338249600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1414108800000",
    "number": "1811257595",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3239 GROVE AVE",
            "address_2": "SUITE 202",
            "city": "BERWYN",
            "state": "IL",
            "postal_code": "604023468",
            "telephone_number": "312-207-5290",
            "fax_number": "312-441-0641"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3239 GROVE AVE",
            "address_2": "SUITE 202",
            "city": "BERWYN",
            "state": "IL",
            "postal_code": "604023468",
            "telephone_number": "312-207-5290",
            "fax_number": "312-441-0641"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COMMUNITY NUTRITION NETWORK AND SENIOR SERVICES ASSOC COOK COUNTY",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-05-29",
        "last_updated": "2014-10-24",
        "status": "A",
        "authorized_official_last_name": "COOPER",
        "authorized_official_first_name": "ANN",
        "authorized_official_middle_name": "MCLONE",
        "authorized_official_title_or_position": "CHIEF EXECUTIVE OFFICER",
        "authorized_official_telephone_number": "312-207-5290"
    },
    "taxonomies": [
        {
            "code": "332U00000X",
            "taxonomy_group": "",
            "desc": "Home Delivered Meals",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 24, 2014; 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.