Community Care Systems Adult Day Services, Inc.

Primary specialty

Adult Care Home FacilityTaxonomy code 311ZA0620X

Legal business name

COMMUNITY CARE SYSTEMS ADULT DAY SERVICES, INC.

Practice address

639 York St
Suite 110
Quincy, IL 62301-3963

Phone

(217) 592-3757

Fax

(217) 223-6958

NPI assigned

Jan 17, 2014

Last updated

Oct 26, 2016By 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

Frank J Vala

Title

Ceo

Phone

(217) 698-0200

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1389916800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1477440000000",
    "number": "1972925402",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "405 N MACARTHUR BLVD",
            "city": "SPRINGFIELD",
            "state": "IL",
            "postal_code": "627022312",
            "telephone_number": "217-698-0200",
            "fax_number": "217-698-9862"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "639 YORK ST",
            "address_2": "SUITE 110",
            "city": "QUINCY",
            "state": "IL",
            "postal_code": "623013963",
            "telephone_number": "217-592-3757",
            "fax_number": "217-223-6958"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COMMUNITY CARE SYSTEMS ADULT DAY SERVICES, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-01-17",
        "last_updated": "2016-10-26",
        "status": "A",
        "authorized_official_last_name": "VALA",
        "authorized_official_first_name": "FRANK",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "217-698-0200"
    },
    "taxonomies": [
        {
            "code": "311ZA0620X",
            "taxonomy_group": "",
            "desc": "Custodial Care Facility, Adult Care Home",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Adult Care Home Facility in Quincy, IL
• Providers in Quincy, IL by specialty
• Adult Care Home Facility in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 26, 2016; 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.