Cra, Inc

Primary specialty

Intellectual and/or Developmental Disabilities Community Based Residential Treatment FacilityTaxonomy code 320900000X

Legal business name

CRA, INC

Practice address

816 Wyatt Ave
Lincoln, IL 62656-3145

Phone

(217) 735-5203

NPI assigned

Dec 8, 2015

Last updated

Dec 8, 2015By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mrs. Carrie Lynn Valete

Title

Executive Director

Phone

(217) 693-7494

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1449532800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1449532800000",
    "number": "1871968495",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4102 FARHILLS DR",
            "city": "CHAMPAIGN",
            "state": "IL",
            "postal_code": "618229301",
            "telephone_number": "217-693-7494",
            "fax_number": "734-342-6402"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "816 WYATT AVE",
            "city": "LINCOLN",
            "state": "IL",
            "postal_code": "626563145",
            "telephone_number": "217-735-5203"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CRA, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-12-08",
        "last_updated": "2015-12-08",
        "status": "A",
        "authorized_official_last_name": "VALETE",
        "authorized_official_first_name": "CARRIE",
        "authorized_official_middle_name": "LYNN",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "217-693-7494",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "320900000X",
            "taxonomy_group": "",
            "desc": "Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Ruth E Cook, ATC, LAT
• Mandy Kay Cordray, CNA
• County of Logan (Logan County Health Department)
• County of Logan
• Melissa L. Cox, M.D.
• Jaycee Craver
• Julie Cross, PT
• Cassandra Dahm, RDH
• Sarah Ashley Diane Davis, LCPC
• Jenna N Dean, APN

• Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility in Lincoln, IL
• Providers in Lincoln, IL by specialty
• Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 8, 2015; 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.