ALEXIS MARIE HULFACHOR (NPI# 1437709979) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1437709979 |
| Entity Type | Individual |
| Full Name | ALEXIS MARIE HULFACHOR |
| Practice Address |
11362 Country Club Road Lawrenceville IL 62439 |
| Mailing Address |
Po Box 516 Lawrenceville IL 62439 |
| Practice Telephone | 6189433302 |
| Practice Fax Number | 6189437589 |
| Mailing Telephone | 6189433302 |
| Mailing Fax Number | 6189437589 |
| Enumeration Date | 2019-09-17 |
| Last Update Date | 2019-09-17 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 171M00000X | Case Manager/Care Coordinator | IL | Other Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| IL | 376006178008 | 05 |
| Street Address |
11362 COUNTRY CLUB ROAD |
| City | LAWRENCEVILLE |
| State | IL |
| Zip Code | 62439 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1164071700 | Lauren E Welton | Case Manager/Care Coordinator | 11362 Country Club Road, Lawrenceville, IL 62439 | 2019-09-06 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1801406590 | Allyson Fiscus | Nurse Practitioner | 11020 Il-250, Lawrenceville, IL 62439 | 2020-08-06 |
| 1962063354 | Connie Deckard | Counselor | Lawrence County Health Department Behavior Health, 11020 State Route 250, Lawrenceville, IL 62439 | 2019-06-26 |
| 1225485527 | Megan Joergens | Social Worker | 11120 State Route 250, Lawrenceville, IL 62439 | 2016-05-17 |
| 1235509456 | Christy M Wimberly | Private Vehicle | 1417 Dubios St., Lawrenceville, IL 62439 | 2015-09-30 |
| 1144637521 | Joy Singson Uy | Physical Therapist | 2101 James St United Methodist Village North, Lawrenceville, IL 62439 | 2014-07-17 |
| 1760791792 | Lawrence Co | Secured Medical Transport (VAN) | 2009 Lexington Ave, Lawrenceville, IL 62439 | 2010-09-24 |
| 1134358922 | Lawrence County Health Department | Public Health or Welfare | Rural Route3 Box 430, Lawrenceville, IL 62439 | 2009-07-14 |
| 1366678161 | Judith Joan Phipps | Counselor | Rr1 Box 277, Lawrenceville, IL 62439 | 2009-06-08 |
| 1366648784 | S. Hurn Baek | Radiology | Lawrence County Memorial Hospital, Radiology, 2200 W. State St., Lawrenceville, IL 62439 | 2007-06-22 |
| 1629162078 | Lawrence Ccud | Local Education Agency (LEA) | 1802 Cedar St, Lawrenceville, IL 62439 | 2006-10-02 |
| Find all providers in zip 62439 | ||||
| Taxonomy Code | 171M00000X |
| Grouping | Other Service Providers |
| Classification | Case Manager/Care Coordinator |
| A person who provides case management services and assists an individual in gaining access to needed medical, social, educational, and/or other services. The person has the ability to provide an assessment and review of completed plan of care on a periodic basis. This person is also able to take collaborative action to coordinate the services with other providers and monitor the enrollee’s progress toward the cost-effective achievement of objectives specified in the plan of care. Credentials may vary from an experience in the fields of psychology, social work, rehabilitation, nursing or a closely related human service field, to a related Assoc of Arts Degree or to nursing credentials. Some states may require certification in case management. |
| Notes: Source: CMS State Medicaid Manual Section 4442.3 [7/1/2006: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1821633447 | Rachel Delgado | Case Manager/Care Coordinator | 1624 Glenfield Dr, Lawrenceville, GA 30043-3691 | 2019-11-07 |
| 1164071700 | Lauren E Welton | Case Manager/Care Coordinator | 11362 Country Club Road, Lawrenceville, IL 62439 | 2019-09-06 |
| 1982098117 | Kathy Johnson | Case Manager/Care Coordinator | 1395 Stoney Field Pl, Lawrenceville, GA 30043-3860 | 2015-03-25 |
| 1114351236 | Laura Moncada | Case Manager/Care Coordinator | 4799 Sugarloaf Pkwy Ste K, Lawrenceville, GA 30044-8836 | 2013-08-26 |
| 1326213851 | Janet T Gill | Case Manager/Care Coordinator | 1535 Cheshire Ct, Lawrenceville, GA 30043-6514 | 2008-04-25 |
| 1427260413 | Amy E. Castaline | Case Manager/Care Coordinator | 900 Legacy Park Drive, Apt 1413, Lawrenceville, GA 30043-8715 | 2007-05-04 |
| 1881757235 | Marilyn Proctor | Case Manager/Care Coordinator | 280 Plantation View Dr, Lawrenceville, GA 30044-4567 | 2006-12-18 |
| 1467997999 | Ryan Mack | Case Manager/Care Coordinator | 965 Oakland Rd, 3b, Lawrenceville, GA 30044-3758 | 2016-12-19 |
| 1710421599 | Xavier Johnson | Case Manager/Care Coordinator | 965 Oakland Rd, Lawrenceville, GA 30044-3758 | 2016-12-13 |
| 1689973513 | Hadiya Torkwase Moore-stigler | Case Manager/Care Coordinator | 595 Old Norcross Rd, Lawrenceville, GA 30046-3327 | 2011-03-17 |
| Find all providers in LAWRENCEVILLE | ||||
| City | LAWRENCEVILLE |
| Zip Code | 62439 |
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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.