WEST CENTRAL ILLINOIS NUTRITION (NPI# 1043851488) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1043851488 |
Entity Type | Organization |
Organization Name | WEST CENTRAL ILLINOIS NUTRITION |
Other Organization Name | WEST CENTRAL ILLINOIS NUTRITION PROJECT |
Practice Address |
639 York St. Room 333 Quincy IL 62301 |
Practice Telephone | 2175923657 |
Practice Fax Number | 2175923761 |
Mailing Telephone | 2175923657 |
Mailing Fax Number | 2175923761 |
Enumeration Date | 2019-10-07 |
Last Update Date | 2019-10-23 |
Authorized Official Name | KIMBERLY J THOMPSON (DIRECTOR) |
Authorized Official Telephone | 2175923653 |
Authorized Official Credential | CDM/CFPP |
Is Organization Subpart | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
N | 253Z00000X | In Home Supportive Care | Agencies | ||
Y | 174200000X | Meals | Other Service Providers |
Other Name | Type Code |
---|---|
Meals Plus for Seniors | Doing Business As Name - Organization |
West Central Illinois Nutrition Project | Doing Business As Name - Organization |
Address | Telephone Number | Fax Number |
---|---|---|
203 W Main St, Hardin, IL 620474440 | 6185769331 |
Street Address |
639 YORK ST. ROOM 333 |
City | QUINCY |
State | IL |
Zip Code | 62301 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1356969471 | Lutheran Child and Family Service of Illinois | Foster Care Agency | 1400 N. 30th St, Quincy, IL 62301 | 2020-07-07 |
1134749716 | Bethany Nicole Jumps | Pharmacist | Broadway St & N 11th St, Quincy, IL 62301 | 2020-04-23 |
1043844293 | S.crider Construction An Supply Corp. | Contractor | 529 Woodbridge Dr., Quincy, IL 62301 | 2020-02-26 |
1245862002 | Quincy Physicians & Surgeons Clinic, Sc | Clinic/Center | 3301 Broadway St., Quincy, IL 62301 | 2020-02-10 |
1861986549 | Quincy Physicians & Surgeons Clinic, Sc | Internal Medicine | 3347 Broadway St, Quincy, IL 62301 | 2018-06-18 |
1194255083 | Michael Andrew Behrens | Nurse Practitioner | Broadway and 11th Street, Quincy, IL 62301 | 2017-06-14 |
1770987323 | Kirsty Yvonne Reed | Counselor | 205 S. 24th Street, Chaddock, Quincy, IL 62301 | 2014-10-10 |
1114234499 | Dale D. Shahan Dds Ltd | Dentist | 636 Hampshire Suite 102, Quincy, IL 62301 | 2010-09-08 |
1730314071 | James D Kaufmann | Pharmacist | 14th & Broadway, Quincy, IL 62301 | 2009-05-15 |
1467686873 | Eric R Martin | Pharmacist | Broadway At 14th St., Quincy, IL 62301 | 2009-05-13 |
Find all providers in zip 62301 |
Taxonomy Code | 174200000X |
Grouping | Other Service Providers |
Classification | Meals |
A public or privately owned facility providing meals to individuals traveling long distances or receiving prolonged outpatient medical services away from home. |
Notes: Source: SD DSS Non-Emergency Medical Transportation program Transportation Services [7/1/2010: new] |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1316581929 | Sshe Rfmf Inc | Meals | 611 E Stevenson Rd, Ottawa, IL 61350-9104 | 2019-11-06 |
1164089181 | Accurate Private Care Inc. | Meals | 3400 Dundee Rd Ste 150, Northbrook, IL 60062-2333 | 2019-05-24 |
1912550484 | Between Us LLC | Meals | 20055 Monterey Ave, Lynwood, IL 60411-1517 | 2019-07-23 |
1114498813 | Footprints Elgin Il LLC | Meals | 411 W River Rd, Elgin, IL 60123-1570 | 2018-12-07 |
1740759232 | King Nursing LLC | Meals | 4316 W Adams St Apt 2e, Chicago, IL 60624-2641 | 2018-11-14 |
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Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.