Organization Active NPI

Washington County Commission on Aging, Inc.

  • Home Delivered Meals
  • Hagerstown, MD
National Provider Identifier
1063015113
Registry record updated Nov 20, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Delivered MealsTaxonomy code 332U00000X
Legal business name
WASHINGTON COUNTY COMMISSION ON AGING, INC.
Practice address
535 E Franklin St
Hagerstown, MD 21740-5056
Phone
(301) 790-0275
Fax
(301) 739-4957
NPI assigned
Nov 20, 2020
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 20, 2020

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Mrs. Amy Olack, NHA
Title
Ceo
Phone
(301) 790-0275

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Community Health WorkerGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 172V00000X
Health EducatorGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 174H00000X
Case Management Agency 251B00000X
Home Delivered Meals 332U00000X Primary

Addresses

Primary practice location

535 E Franklin St
Hagerstown, MD 21740-5056

Mailing address

535 E Franklin St
Hagerstown, MD 21740-5056
Phone (301) 790-0275

Other identifiers 1

IdentifierTypeStateIssuer
900107700MedicaidMD

National Provider Directory

National Provider Directory

Locations

535 E Franklin St
Hagerstown, MD 21740
Phone (301) 790-0275

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1605830400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1605830400000",
    "number": "1063015113",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "535 E FRANKLIN ST",
            "city": "HAGERSTOWN",
            "state": "MD",
            "postal_code": "217405056",
            "telephone_number": "301-790-0275",
            "fax_number": "301-739-4957"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "535 E FRANKLIN ST",
            "city": "HAGERSTOWN",
            "state": "MD",
            "postal_code": "217405056",
            "telephone_number": "301-790-0275",
            "fax_number": "301-739-4957"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WASHINGTON COUNTY COMMISSION ON AGING, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-11-20",
        "last_updated": "2020-11-20",
        "certification_date": "2020-11-17",
        "status": "A",
        "authorized_official_last_name": "OLACK",
        "authorized_official_first_name": "AMY",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "301-790-0275",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "NHA"
    },
    "taxonomies": [
        {
            "code": "172V00000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Community Health Worker",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "174H00000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Health Educator",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "251B00000X",
            "taxonomy_group": "",
            "desc": "Case Management",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "332U00000X",
            "taxonomy_group": "",
            "desc": "Home Delivered Meals",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "900107700",
            "state": "MD"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Hagerstown, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 20, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.