Boone County Council on Aging

Primary specialty

BusTaxonomy code 347B00000X

Legal business name

BOONE COUNTY COUNCIL ON AGING

Practice address

2141 Henry Luckow LN
Belvidere, IL 61008-1700

Phone

(815) 544-9893

Fax

(815) 547-7373

NPI assigned

Aug 31, 2010

Organization subpart

No

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

Authorized official

Name

Mr. John T Slattengren

Title

Executive Director

Phone

(815) 544-9893

Specialties & licenses 1

Addresses

Tax ID family

Boone County Council on Aging2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

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

• Boone County Council on Aging

  • In Home Supportive Care Agency
  • Belvidere, IL
  • NPI 1407283906
  NPD tax ID

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

{
    "created_epoch": "1283212800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1283212800000",
    "number": "1881900678",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2141 HENRY LUCKOW LN",
            "city": "BELVIDERE",
            "state": "IL",
            "postal_code": "610081700",
            "telephone_number": "815-544-9893",
            "fax_number": "815-547-7373"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2141 HENRY LUCKOW LN",
            "city": "BELVIDERE",
            "state": "IL",
            "postal_code": "610081700",
            "telephone_number": "815-544-9893",
            "fax_number": "815-547-7373"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BOONE COUNTY COUNCIL ON AGING",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-08-31",
        "last_updated": "2010-08-31",
        "status": "A",
        "authorized_official_last_name": "SLATTENGREN",
        "authorized_official_first_name": "JOHN",
        "authorized_official_middle_name": "T",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "815-544-9893",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "347B00000X",
            "taxonomy_group": "",
            "desc": "Bus",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Lora Ethelyn Bertell, PHARMD
• Alfredo Daniel Bizzocchi
• Jeremiah Blaser, PT, DPT
• Board of Trustees of the University of Illinois
• Boone County Council on Aging
• Boone County Rural Fire Protection District Number Two
• Boone County Special Ed Coop
• Boone County Special Ed Coop
• Samantha Elizabeth Bradley, D.C.
• Jaci Carolynn Brantley

• All providers in Belvidere, IL
• Bus in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 31, 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.