S&C Enterprise

Primary specialty

Early Intervention Provider AgencyTaxonomy code 252Y00000X

Legal business name

S&C ENTERPRISE

Practice address

17842 Park Ave
Lansing, IL 60438-1937

Phone

(708) 474-8433

NPI assigned

Nov 30, 2009

Organization subpart

No

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

Authorized official

Name

Mr. Clyde Payne III

Title

Director

Phone

(708) 474-8433

Specialties & licenses 3

Addresses

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

{
    "created_epoch": "1259539200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1259539200000",
    "number": "1881922011",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "17842 PARK AVE",
            "city": "LANSING",
            "state": "IL",
            "postal_code": "604381937",
            "telephone_number": "708-474-8433"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "17842 PARK AVE",
            "city": "LANSING",
            "state": "IL",
            "postal_code": "604381937",
            "telephone_number": "708-474-8433"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "S&C ENTERPRISE",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-11-30",
        "last_updated": "2009-11-30",
        "status": "A",
        "authorized_official_last_name": "PAYNE",
        "authorized_official_first_name": "CLYDE",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "708-474-8433",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_name_suffix": "III"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "252Y00000X",
            "taxonomy_group": "",
            "desc": "Early Intervention Provider Agency",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Mohammedt Sadiq
• Sherien Said
• John Alexander Sangueza
• Delicia Artise Santana, MS COUNSELING
• Jeffery R Sarbieski, DDS

• Early Intervention Provider Agency in Lansing, IL
• Providers in Lansing, IL by specialty
• Early Intervention Provider Agency in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 30, 2009; 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.