OrganizationActive
Central Illinois Agency on Aging, Inc.
NPI 1205382900 · Case Management Agency · Peoria, IL
Provider details
- NPI number
- 1205382900
- Entity type
- Organization
- Primary specialty
- Case Management AgencyAgencies
- Organization subpart
- No
- Authorized official
- Keith Rider, President/Ceo(309) 674-2071
- License
- U120604616 (IL)
Specialties & taxonomies
Agencies
Profile Score
Established profile(71/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
9 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
700 Hamilton Blvd
Peoria, IL 61603
Phone: (309) 550-5811
Street-level locationGet directions
Mailing address
700 Hamilton Blvd
Peoria, IL 61603-3617
Registry dates
- Enumerated
- 2016-09-01
- Last updated
- 2016-09-01
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.