Active NPI
Aging in Place Assistive Services Inc.
- Home Modifications Contractor
- San Francisco, CA
National Provider Identifier
1093961765
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Home Modifications Contractor
- License
- 922291
- Legal business name
- AGING IN PLACE ASSISTIVE SERVICES INC.
- Practice address
- 2051 21St Ave
Suite 205
San Francisco, CA 94116-1208 - Phone
- (415) 661-6650
- Fax
- (480) 393-5023
- NPI assigned
- Aug 13, 2008
- 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
- Mikhail Zotman, GENERAL CONTRACTOR
- Title
- President
- Phone
- (415) 661-6650
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Contractor | 171W00000X | 922291 | CA | |
| Home Modifications Contractor | 171WH0202X | 922291 | CA | Primary |
| Vehicle Modifications Contractor | 171WV0202X | 922291 | CA |
Addresses
Primary practice location
2051 21St Ave
Suite 205
San Francisco, CA 94116-1208
Mailing address
2051 21St Ave
Suite 205
San Francisco, CA 94116-1208
Phone (415) 661-6650
Other names 1
- LifeWell Assistive Services
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1218585600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1231459200000",
"number": "1093961765",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2051 21ST AVE",
"address_2": "SUITE 205",
"city": "SAN FRANCISCO",
"state": "CA",
"postal_code": "941161208",
"telephone_number": "415-661-6650",
"fax_number": "480-393-5023"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2051 21ST AVE",
"address_2": "SUITE 205",
"city": "SAN FRANCISCO",
"state": "CA",
"postal_code": "941161208",
"telephone_number": "415-661-6650",
"fax_number": "480-393-5023"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "AGING IN PLACE ASSISTIVE SERVICES INC.",
"organizational_subpart": "NO",
"enumeration_date": "2008-08-13",
"last_updated": "2009-01-09",
"status": "A",
"authorized_official_last_name": "ZOTMAN",
"authorized_official_first_name": "MIKHAIL",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "415-661-6650",
"authorized_official_credential": "GENERAL CONTRACTOR"
},
"taxonomies": [
{
"code": "171W00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Contractor",
"state": "CA",
"license": "922291",
"primary": false
},
{
"code": "171WH0202X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Contractor, Home Modifications",
"state": "CA",
"license": "922291",
"primary": true
},
{
"code": "171WV0202X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Contractor, Vehicle Modifications",
"state": "CA",
"license": "922291",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "LifeWell Assistive Services",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in San Francisco, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 9, 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.