Healthcare Provider Details

I. General information

NPI: 1649117292
Provider Name (Legal Business Name): COMMUNITY AFFAIRS COMMUNITY & HOME CARE SERVICES OF I
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/01/2026
Last Update Date: 06/18/2026
Certification Date: 06/18/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

20646 ABBEY WOODS CT N STE 204
FRANKFORT IL
60423-3176
US

IV. Provider business mailing address

20646 ABBEY WOODS CT N STE 204
FRANKFORT IL
60423-3176
US

V. Phone/Fax

Practice location:
  • Phone: 815-261-4200
  • Fax: 815-926-5311
Mailing address:
  • Phone: 815-261-4200
  • Fax: 815-926-5311

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code251B00000X
TaxonomyCase Management Agency
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code251T00000X
TaxonomyPACE Provider Organization
License Number
License Number State
# 3
Primary TaxonomyY
Taxonomy Code253Z00000X
TaxonomyIn Home Supportive Care Agency
License Number
License Number State

VIII. Authorized Official

Name: MR. JOHNNIE MURRAY
Title or Position: CEO
Credential:
Phone: 815-261-4200