POUR CONNECTIONS NPI 1962346148

NPI Information

  • NPI: 1962346148
  • Provider Name: POUR CONNECTIONS
  • Classification: Case Manager/Care Coordinator - 171M00000X
  • Entity Type: Organization
  • Address: 16150 CICERO AVE STE 12
    OAK FOREST, IL
    ZIP 60452
  • Phone: (708) 439-3437

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NPI Details

POUR CONNECTIONS is a case manager care coordinator in Oak Forest, IL. The provider is a person who provides case management services and assists an individual in gaining access to needed medical, social, educational, and/or other services. The person has the ability to provide an assessment and review of completed plan of care on a periodic basis. This person is also able to take collaborative action to coordinate the services with other providers and monitor the enrollee's progress toward the cost-effective achievement of objectives specified in the plan of care. Credentials may vary from an experience in the fields of psychology, social work, rehabilitation, nursing or a closely related human service field, to a related Assoc of Arts Degree or to nursing credentials. Some states may require certification in case management. POUR CONNECTIONS NPI is 1962346148. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

16150 CICERO AVE STE 12
OAK FOREST, IL
ZIP 60452-136
Phone: (708) 439-3437
Fax: (708) 970-0358

The provider's authorized official is Dominique L Mckenzie .
The authorized official title is Founder, Executive Director and has the following contact phone number (708) 970-0358.

The enumeration date for this NPI number is 4/16/2026 and was last updated on 4/16/2026.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1171400000XHealth and Wellness CoachNo
2171W00000XContractorNo
3172V00000XCommunity Health WorkerNo
4174H00000XHealth EducatorNo
5175T00000XPeer SpecialistNo
6225400000XRehabilitation PractitionerNo
7251B00000XCase ManagementNo
8372500000XChore ProviderNo
9372600000XAdult CompanionNo
10373H00000XDay Training/Habilitation SpecialistNo
11374U00000XHome Health AideNo
12106S00000XBehavior TechnicianNo
13163WC0400XRegistered NurseCase ManagementNo
14163WC1600XRegistered NurseContinuing Education/Staff DevelopmentNo
15171M00000XCase Manager/Care CoordinatorYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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