Active Aging, Inc.

Primary specialty

Case Management AgencyTaxonomy code 251B00000X

Legal business name

ACTIVE AGING, INC.

Practice address

1034 Park Ave
Meadville, PA 16335-4325

Phone

(814) 336-1792

NPI assigned

Jan 23, 2013

Organization subpart

No

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

Authorized official

Name

Krista Geer

Title

Executive Director

Phone

(814) 336-1792

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1358899200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1358899200000",
    "number": "1063750271",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1034 PARK AVE",
            "city": "MEADVILLE",
            "state": "PA",
            "postal_code": "163354325"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1034 PARK AVE",
            "city": "MEADVILLE",
            "state": "PA",
            "postal_code": "163354325",
            "telephone_number": "814-336-1792"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ACTIVE AGING, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-01-23",
        "last_updated": "2013-01-23",
        "status": "A",
        "authorized_official_last_name": "GEER",
        "authorized_official_first_name": "KRISTA",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "814-336-1792"
    },
    "taxonomies": [
        {
            "code": "251B00000X",
            "taxonomy_group": "",
            "desc": "Case Management",
            "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 Jan 23, 2013; 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.