Unknown Individual – Community Health Worker, NPI 1174796817

Unknown Individual is a healthcare provider. based in Taylorville, Illinois. specializing in Community Health Worker. The NPI Number for Unknown Individual is 1174796817

Main info

Organization
Inactive
Name
Unknown Individual
NPI
1174796817
Phone
(217) 824-3482
Address
75 HILLCREST MHP
Deactivation Date
2 August 2021
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience5
Completeness75
Years active:0State licenses:0Digital endpointsOther names

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Provider Addresses for Unknown Individual

  • 75 HILLCREST MHP

    TAYLORVILLE, IL 626580468

    Phone: (217) 824-3482

    Type: Mailing

  • 14, Elm Tree Court, Taylorville, Christian County, Illinois, 62568, United States

    TAYLORVILLE, IL 625680468

    Phone: (217) 287-1117

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

No Medicare enrollment or revalidation data available for this provider in our database.

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 62658)

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Reviews

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Frequently asked questions

How do I look up Unknown Individual by NPI?
Use NPI 1174796817 when you need to reference Unknown Individual in forms, claims, or directories.
Is Unknown Individual's inactive status permanent?
An inactive NPI does not by itself prove someone stopped practicing — check other sources.
Does Unknown Individual list a primary specialty?
If you are matching referrals, note Community Health Worker for Unknown Individual. Clinical services aligned with this taxonomy classification.
Does Unknown Individual practice in Illinois?
You will see Taylorville, Illinois on file for Unknown Individual alongside any extra practice locations.
What if Taylorville, Illinois seems incomplete?
Street-level detail can be omitted — open the full address list for this NPI.

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