SPRINGFIELD ARC, INC. (NPI# 1295865350) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1295865350 |
| Entity Type | Organization |
| Organization Name | SPRINGFIELD ARC, INC. |
| Other Organization Name | SPRINGFIELD ASSOCIATION FOR RETARDED CITIZENS |
| Practice Address |
232 N Bruns Ln Springfield IL 62702-4613 |
| Practice Telephone | 2177932100 |
| Practice Fax Number | 2177932127 |
| Mailing Telephone | 2177932100 |
| Mailing Fax Number | 2177932127 |
| Enumeration Date | 2007-03-07 |
| Last Update Date | 2020-08-22 |
| Authorized Official Name | MRS. CARLISSA PUCKETT (EXECUTIVE DIRECTOR) |
| Authorized Official Telephone | 2177932100 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| X | 251B00000X | Case Management | Agencies | ||
| X | 251C00000X | Day Training, Developmentally Disabled Services | Agencies | ||
| X | 320900000X | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | Residential Treatment Facilities |
| Other Name | Type Code |
|---|---|
| Springfield Association for Retarded Citizens | Former Legal Business Name - Organization |
| Street Address |
232 N BRUNS LN |
| City | SPRINGFIELD |
| State | IL |
| Zip Code | 62702-4613 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1457866519 | Mohammad Jamal Uddin Ansari | Internal Medicine | 751 N Rutledge St Ste 400, Springfield, IL 62702 | 2017-12-11 |
| 1588105811 | Mickey Graphia | Surgery | 701 N 1st St # D346, Springfield, IL 62702 | 2017-03-20 |
| 1376908913 | Abdul Hannan | Internal Medicine | 315 W Carpenter St # B, Springfield, IL 62702 | 2015-12-28 |
| 1871986414 | Rachel Hoselton | Nurse Practitioner | 400 N 9th St Fl 4, Springfield, IL 62702 | 2015-03-06 |
| 1548697774 | Alyssa Wilson | Behavioral Analyst | 232 Bruns Lane, One Sparcenter Plaza, Springfield, IL 62702 | 2013-10-02 |
| 1174965446 | Amy Wilson | Speech-Language Pathologist | 2120 West Washington Street, Springfield, IL 62702 | 2013-07-26 |
| 1275898116 | Pele Boutrous Dina | Pediatrics | 415 N 9th St # 4w16, Springfield, IL 62702 | 2012-07-06 |
| 1427327733 | Brook D Croke | Genetic Counselor, MS | 400 N. 9th Street, 3rd Floor Clinic B, Springfield, IL 62702 | 2011-12-16 |
| 1629352604 | Renae M Sanchez | Pharmacist | 3216 East Clearlake Ave, Springfield, IL 62702 | 2011-10-07 |
| 1982915302 | William Leland Zelkovich | Radiology | 701 N 1st, Springfield, IL 62702 | 2010-06-30 |
| Find all providers in zip 62702 | ||||
| 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 |
|---|---|---|---|---|
| 1730703521 | Excellent Care Residential Services LLC | Case Management | 6400 Rivington Rd, Springfield, VA 22152-2912 | 2020-06-08 |
| 1467091033 | Right Choice Health Group LLC | Case Management | 125 Liberty St Ste 205, Springfield, MA 01103-1109 | 2019-12-31 |
| 1205325131 | Restoration of Hope Project | Case Management | 1925 E Bennett St Ste H, Springfield, MO 65804-1425 | 2018-05-07 |
| 1952619470 | Catholic Charities of Southern Missouri | Case Management | 424 E Monastery St, Springfield, MO 65807-6099 | 2010-09-17 |
| 1265764682 | Reasonable Choices | Case Management | 738 N Limestone St, Springfield, OH 45503-3616 | 2010-02-10 |
| 1275796682 | Home Care Givers LLC | Case Management | 100 Hillside Ave, Springfield, NJ 07081-3006 | 2008-07-07 |
| 1801058953 | Aprocot LLC | Case Management | 5535 S Southwood Rd, Springfield, MO 65804-5295 | 2008-06-30 |
| 1902064553 | Inova Health System | Case Management | 8003 Forbes Pl, Suite 104, Springfield, VA 22151-2207 | 2008-05-30 |
| 1245458017 | Depatment of Mental Health | Case Management | 310 State St, Springfield, MA 01105-1322 | 2007-04-24 |
| 1528281532 | Department of Developmental Services | Case Management | Springfield Cm, 436 Dwight St Ste 205, Springfield, MA 01103 | 2007-04-10 |
| Find all providers in SPRINGFIELD | ||||
| City | SPRINGFIELD |
| Zip Code | 62702 |
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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.