Healthcare Provider Details

I. General information

NPI: 1972760023
Provider Name (Legal Business Name): COMMUNITY HOME ENIVORNMENTAL LEARNING PROJECT, INC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/16/2008
Last Update Date: 08/16/2024
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2545 MILLIKIN PARKWAY
DECATUR IL
62526
US

IV. Provider business mailing address

2545 MILLIKIN PARKWAY
DECATUR IL
62526
US

V. Phone/Fax

Practice location:
  • Phone: 217-422-9888
  • Fax: 217-422-9650
Mailing address:
  • Phone: 217-422-9888
  • Fax: 217-422-9650

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code251E00000X
TaxonomyHome Health Agency
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code251V00000X
TaxonomyVoluntary or Charitable Agency
License Number
License Number State

VIII. Authorized Official

Name: JULIE ANNE WALKER
Title or Position: EXECUTIVE DIRECTOR
Credential:
Phone: 217-422-9888