CFC 24 Archway, Inc

Primary specialty

Case Management AgencyTaxonomy code 251B00000X

Legal business name

CFC 24 ARCHWAY, INC

Practice address

2751 W Main St
Carbondale, IL 62901-1000

Phone

(618) 529-5944

Fax

(618) 529-5785

NPI assigned

Sep 21, 2016

Organization subpart

No

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

Authorized official

Name

Deanna Cruse

Title

Executive Director

Phone

(618) 529-5944

Specialties & licenses 1

Addresses

Tax ID family

Archway Inc3 organizations share this tax ID, including this one

Other organizations with this tax ID 2

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

• Archway, Inc.

  • Durable Medical Equipment & Medical Supplies
  • Carbondale, IL
  • NPI 1669696399
  NPD tax ID
• Archway, Inc.

  • Speech-Language Pathologist
  • Carbondale, IL
  • NPI 1720114788
  NPD tax ID

Locations

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

{
    "created_epoch": "1474416000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1740096000000",
    "number": "1821546672",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1180",
            "city": "CARBONDALE",
            "state": "IL",
            "postal_code": "629031180",
            "telephone_number": "618-529-5944",
            "fax_number": "618-529-5785"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2751 W MAIN ST",
            "city": "CARBONDALE",
            "state": "IL",
            "postal_code": "629011000",
            "telephone_number": "618-529-5944",
            "fax_number": "618-529-5785"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CFC 24 ARCHWAY, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-09-21",
        "last_updated": "2025-02-21",
        "certification_date": "2025-02-21",
        "status": "A",
        "authorized_official_last_name": "CRUSE",
        "authorized_official_first_name": "DEANNA",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "618-529-5944"
    },
    "taxonomies": [
        {
            "code": "251B00000X",
            "taxonomy_group": "",
            "desc": "Case Management",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Centerstone of Illinois, Inc
• Centerstone of Illinois, Inc
• Centerstone of Illinois, Inc
• Angela Cerney, ATC
• Thomas Norbert Cerny, R.PH.
• Stephanie Marie Chambers-Baltz, PHD, LP
• Jenifer Marie Chambless, PA-C
• Kyle Michael Chamness, PTA
• Laura E Chandler, MS/CCC-SLP
• Rakesh Chandra, MD

• All providers in Carbondale, IL
• Case Management Agency in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 21, 2025; 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.