Organization Active NPI

Area IV Agency on Aging and Community Action Programs, Inc

  • Case Management Agency
  • Lafayette, IN
National Provider Identifier
1083748131
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Case Management AgencyTaxonomy code 251B00000X
Legal business name
AREA IV AGENCY ON AGING AND COMMUNITY ACTION PROGRAMS, INC
Practice address
660 N 36TH St
Lafayette, IN 47905-4474
Phone
(765) 447-7683
NPI assigned
Mar 14, 2007
Last updated
Aug 22, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Ms. Laura L Hale
Title
Medicaid Waiver Coordinator
Phone
(765) 447-7683

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Case Management Agency 251B00000X NU Primary

Addresses

Primary practice location

660 N 36TH St
Lafayette, IN 47905-4474

Mailing address

660 N 36TH St
Lafayette, IN 47905-4474
Phone (765) 447-7683

National Provider Directory

National Provider Directory
Tax ID family
Area IV Agency on Aging and Community Action Programs Inc2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

NPI Registry JSON

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

{
    "created_epoch": "1173830400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1083748131",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "660 N 36TH ST",
            "city": "LAFAYETTE",
            "state": "IN",
            "postal_code": "479054474",
            "telephone_number": "765-447-7683"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "660 N 36TH ST",
            "city": "LAFAYETTE",
            "state": "IN",
            "postal_code": "479054474",
            "telephone_number": "765-447-7683"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AREA IV AGENCY ON AGING AND COMMUNITY ACTION PROGRAMS, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-14",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "HALE",
        "authorized_official_first_name": "LAURA",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "MEDICAID WAIVER COORDINATOR",
        "authorized_official_telephone_number": "765-447-7683",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "251B00000X",
            "taxonomy_group": "",
            "desc": "Case Management",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lafayette, IN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 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.