Organization Active NPI

Aging in Place Assistive Services Inc.

  • Home Modifications Contractor
  • San Francisco, CA
National Provider Identifier
1093961765
Registry record updated Jan 9, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Modifications ContractorTaxonomy code 171WH0202X
License
922291 Issued in CA
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

Updated by the provider on Jan 9, 2009

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)CodeLicenseStatePrimary
ContractorGroup: 193200000X MULTI-SPECIALTY GROUP 171W00000X 922291 CA
Home Modifications ContractorGroup: 193200000X MULTI-SPECIALTY GROUP 171WH0202X 922291 CA Primary
Vehicle Modifications ContractorGroup: 193200000X MULTI-SPECIALTY GROUP 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 Doing business as

National Provider Directory

National Provider Directory

NPI 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.

Verify at the official NPI Registry.