Providers for Aging LLC

Primary specialty

Home Health AgencyTaxonomy code 251E00000X

Legal business name

PROVIDERS FOR AGING LLC

Practice address

1379 Dix Hwy
Lincoln Park, MI 48146-1346

Phone

(313) 333-8785

NPI assigned

Apr 11, 2024

Organization subpart

No

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

Authorized official

Name

Valeria Zepeda

Title

Owner

Phone

(313) 333-8785

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1712793600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1712793600000",
    "number": "1063265700",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5661 MERRITT ST",
            "city": "DETROIT",
            "state": "MI",
            "postal_code": "482091317",
            "telephone_number": "313-333-8785"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1379 DIX HWY",
            "city": "LINCOLN PARK",
            "state": "MI",
            "postal_code": "481461346",
            "telephone_number": "313-333-8785"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PROVIDERS FOR AGING LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-04-11",
        "last_updated": "2024-04-11",
        "certification_date": "2024-04-11",
        "status": "A",
        "authorized_official_last_name": "ZEPEDA",
        "authorized_official_first_name": "VALERIA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "313-333-8785"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 11, 2024; 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.