Active NPI
Adams Actively Aging Inc.
Doing business as Actively Aging
- Home Health Agency
- Saint Joseph, MO
National Provider Identifier
1053450825
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Home Health Agency
- Legal business name
- ADAMS ACTIVELY AGING INC.
- Doing business as
- Actively Aging
- Practice address
- 3145 Sylvanie St
Saint Joseph, MO 64501-3322 - Phone
- (816) 671-0032
- NPI assigned
- Feb 6, 2007
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mr. Charles David Adams
- Title
- VP Manager
- Phone
- (816) 671-0031
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Home Health Agency | 251E00000X | Primary |
Addresses
Primary practice location
3145 Sylvanie St
Saint Joseph, MO 64501-3322
Mailing address
3145 Sylvanie St
Saint Joseph, MO 64501-3322
Phone (816) 671-0031
Other identifiers 11
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 251E00000X | Medicaid | MO | |
| 3747P1801X | Medicaid | MO | |
| 376JOOOOOX | Medicaid | MO | |
| 261QPO9O4X | Medicaid | MO | |
| 347C00000X | Medicaid | MO | |
| 376KOOOOOX | Medicaid | MO | |
| 374UOOOOOX | Medicaid | MO | |
| 251C00000X | Medicaid | MO | |
| 311ZAO62OX | Medicaid | MO | |
| 372500000X | Medicaid | MO | |
| 372600000X | Medicaid | MO |
Other names 1
- Actively Aging
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1170720000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1234310400000",
"number": "1053450825",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3145 SYLVANIE ST",
"city": "SAINT JOSEPH",
"state": "MO",
"postal_code": "645013322",
"telephone_number": "816-671-0031"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3145 SYLVANIE ST",
"city": "SAINT JOSEPH",
"state": "MO",
"postal_code": "645013322",
"telephone_number": "816-671-0032"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "ADAMS ACTIVELY AGING INC.",
"organizational_subpart": "NO",
"enumeration_date": "2007-02-06",
"last_updated": "2009-02-11",
"status": "A",
"authorized_official_last_name": "ADAMS",
"authorized_official_first_name": "CHARLES",
"authorized_official_middle_name": "DAVID",
"authorized_official_title_or_position": "VP MANAGER",
"authorized_official_telephone_number": "816-671-0031",
"authorized_official_name_prefix": "Mr."
},
"taxonomies": [
{
"code": "251E00000X",
"taxonomy_group": "",
"desc": "Home Health",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "251E00000X",
"state": "MO"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "3747P1801X",
"state": "MO"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "376JOOOOOX",
"state": "MO"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "261QPO9O4X",
"state": "MO"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "347C00000X",
"state": "MO"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "376KOOOOOX",
"state": "MO"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "374UOOOOOX",
"state": "MO"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "251C00000X",
"state": "MO"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "311ZAO62OX",
"state": "MO"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "372500000X",
"state": "MO"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "372600000X",
"state": "MO"
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "Actively Aging",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Saint Joseph, MO
- Rony M Abou-Jawde, MD
- Mohannad Naheid I Abu Omar, M.D
- Ibrahim Abualnadi, M.D
- Bader Abdelhaleem Abuhazeem, MD
- Activate Your Health Chiropractic Center P.C.
- Brittany Jean Adams, DNP, APRN, PMHNP
- Diana Kay Adams, MS LCSW
- Genevieve Kathleen Adams, APRN
- Addiction Awareness
- Adept Anesthesia Associates Inc
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 11, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.