SOUTHERN ILLINOIS CENTER FOR INDEPENDENT LIVING (NPI# 1043867112) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1043867112 |
| Entity Type | Organization |
| Organization Name | SOUTHERN ILLINOIS CENTER FOR INDEPENDENT LIVING |
| Practice Address |
2135 W. Ramada Lane Carbondale IL 62901-5326 |
| Practice Telephone | 6184573318 |
| Practice Fax Number | 6185490132 |
| Mailing Telephone | 6184573318 |
| Mailing Fax Number | 6185490132 |
| Enumeration Date | 2019-08-22 |
| Last Update Date | 2019-08-22 |
| Authorized Official Name | BONNIE VAUGHN (EXECUTIVE DIRECTOR) |
| Authorized Official Telephone | 6184573318 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 251V00000X | Voluntary or Charitable | Agencies | ||
| N | 253Z00000X | In Home Supportive Care | Agencies | ||
| Y | 251B00000X | Case Management | Agencies |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1760622682 | Southern Illinois Center for Independent Living | Voluntary or Charitable | 2135 W Ramada Ln, Carbondale, IL 62901-5326 | 2009-03-05 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| System for Award Management (SAM) Entities | SOUTHERN ILLINOIS CENTER FOR INDEPENDENT LIVING | 2135 W Ramada Ln, Carbondale, IL 62901-5326 |
| Street Address |
2135 W. RAMADA LANE |
| City | CARBONDALE |
| State | IL |
| Zip Code | 62901-5326 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1558961268 | Gerad Aaron Harsy | Pharmacist | Walmart Pharmcy, 1450 East Main St, Carbondale, IL 62901 | 2020-10-30 |
| 1437708674 | Board of Trustees of Southern Illinois University | Clinic/Center | 300 W Oak Street, Carbondale, IL 62901 | 2019-09-10 |
| 1306317383 | Rachael O Johnson | Nurse Practitioner | 404 S. Lewis Ln, Carbondale, IL 62901 | 2018-12-17 |
| 1740795194 | Megan Marie Zimmerman | Nurse Practitioner | 1100 W Diann Ln., Carbondale, IL 62901 | 2017-12-07 |
| 1295244242 | Amy Elizabeth Prudencio | Social Worker | 1301 E. Walnut Street, Carbondale, IL 62901 | 2017-09-21 |
| 1740708171 | Theresa Aleise Goodin | Speech-Language Pathologist | 1301 East Walnut Street, Carbondale, IL 62901 | 2017-09-06 |
| 1144762527 | Kathleen Chwalisz Rigney | Psychologist | 306 West Mill Street, Neurorestorative, Carbondale, IL 62901 | 2016-11-16 |
| 1285185173 | Shawnee Health Service and Development Corp | Social Worker | 404 S. Lewis Lane, Carbondale, IL 62901 | 2016-10-17 |
| 1437605094 | Arielle Greer | Nurse's Aide | 510 E. Russell St., A, Carbondale, IL 62901 | 2016-09-01 |
| 1518413863 | Complete Family Eyecare of Carbondale, PC | Optometrist | 1241 East Walnut Street, Carbondale, IL 62901 | 2016-08-28 |
| Find all providers in zip 62901 | ||||
| Taxonomy Code | 251B00000X |
| Grouping | Agencies |
| Classification | Case Management |
| An organization that is responsible for providing case management services. The agency provides services which assist an individual in gaining access to needed medical, social, educational, and/or other services. Case management services may be used to locate, coordinate, and monitor necessary appropriate services. It may be used to encourage the use of cost-effective medical care by referrals to appropriate providers and to discourage over utilization of costly services. Case management may also serve to provide necessary coordination of non-medical services such as vocational rehabilitation, education, employment, when the services provided enable the individual to function at the highest level. |
| Notes: Source: CMS State Medicaid Manual Section 4442.3 [7/1/2006: definition modified] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1194909580 | Aspen Home Health Care Inc. | Case Management | 1158 Highway 133, Carbondale, CO 81623 | 2007-12-21 |
| 1801095047 | Tri County Human Services Center Inc | Case Management | 185 Fallbrook Street, Carbondale, PA 18407-1861 | 2007-07-17 |
| 1821546672 | Cfc 24 Archway, Inc | Case Management | 2751 W Main St, Carbondale, IL 62901-1000 | 2016-09-21 |
| 1922488915 | Pregnancy Matters | Case Management | 241 S Lewis Ln, Carbondale, IL 62901-3443 | 2015-06-04 |
| 1093950073 | Merakey Pennsylvania | Case Management | 185 Fallbrook St, Carbondale, PA 18407-1861 | 2008-12-04 |
| 1710186952 | Tri County Human Services Center Inc | Case Management | 185 Fallbrook Street, #514, Carbondale, PA 18407-1861 | 2007-07-17 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1912505074 | Next Generation Child and Parent Center Nfp | Case Management | 1649 E 50th St Apt 2a, Chicago, IL 60615-6016 | 2020-10-12 |
| 1447866900 | Central Illinois Friends of Pwa, Inc. | Case Management | 120 Ne Glen Oak Ave Ste 201, Peoria, IL 61603-4315 | 2020-09-21 |
| 1629689260 | Shelter, Inc | Case Management | 1616 N Arlington Heights Rd Ste 203, Arlington Heights, IL 60004-3980 | 2020-08-16 |
| 1336758481 | Care Relief LLC | Case Management | 2323 W Pershing Rd Apt 221, Chicago, IL 60609-2230 | 2020-07-24 |
| 1275151649 | Tamarah Carpenter | Case Management | 1508 Lincoln Pl, Calumet City, IL 60409-6229 | 2020-07-11 |
| 1336760156 | Sonarmd, Inc | Case Management | 350 N Orleans St Ste 9000, Chicago, IL 60654-1975 | 2020-05-04 |
| 1255971156 | Cler Family Solutions LLC | Case Management | 12 Waterfront Ct, Algonquin, IL 60102 | 2020-01-09 |
| 1972140960 | Jasmine Healthcare Management LLC | Case Management | 1507 E 53rd St Unit 247, Chicago, IL 60615-4573 | 2019-12-09 |
| 1366003501 | Valerie Silas | Case Management | 6330 S King Drive, Chicago, IL 60637 | 2019-06-27 |
| 1851957153 | Caring Hands Wellness, LLC | Case Management | 837 Hamlin Ave, Flossmoor, IL 60422-1045 | 2019-05-13 |
| Find all providers with the same taxonomy | ||||
| City | CARBONDALE |
| Zip Code | 62901 |
Please comment or provide details below to improve the information on SOUTHERN ILLINOIS CENTER FOR INDEPENDENT LIVING.
| 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.