Seniorage Area Agency on Aging

Primary specialty

Case Management AgencyTaxonomy code 251B00000X

Legal business name

SENIORAGE AREA AGENCY ON AGING

Practice address

1735 S Fort Ave
Springfield, MO 65807-1204

Phone

(417) 862-0762

NPI assigned

Jul 3, 2007

Organization subpart

Yes

Parent organization

SENIORAGE AREA AGENCY ON AGINGAs reported in NPPES

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

Authorized official

Name

Starr L Kohler

Title

Executive Director

Phone

(417) 862-0762

Specialties & licenses 2

Addresses

Other identifiers 2

Other names 1

• Polk County Adult Day Care Doing business as

Part of

Seniorage Area Agency on Aging

Locations

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

{
    "created_epoch": "1183420800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1601337600000",
    "number": "1124226089",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1735 S FORT AVE",
            "city": "SPRINGFIELD",
            "state": "MO",
            "postal_code": "658071204",
            "telephone_number": "417-862-0762",
            "fax_number": "417-865-2683"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1735 S FORT AVE",
            "city": "SPRINGFIELD",
            "state": "MO",
            "postal_code": "658071204",
            "telephone_number": "417-862-0762"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1850 W Broadway St",
            "address_purpose": "LOCATION",
            "city": "Bolivar",
            "state": "MO",
            "postal_code": "656131869",
            "country_code": "US",
            "telephone_number": "417-326-2140",
            "fax_number": "417-777-8728",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "SENIORAGE AREA AGENCY ON AGING",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "SENIORAGE AREA AGENCY ON AGING",
        "enumeration_date": "2007-07-03",
        "last_updated": "2020-09-29",
        "certification_date": "2020-09-29",
        "status": "A",
        "authorized_official_last_name": "KOHLER",
        "authorized_official_first_name": "STARR",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "417-862-0762"
    },
    "taxonomies": [
        {
            "code": "174200000X",
            "taxonomy_group": "",
            "desc": "Meals",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "251B00000X",
            "taxonomy_group": "",
            "desc": "Case Management",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "279926109",
            "state": "MO"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "289926107",
            "state": "MO"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Polk County Adult Day Care",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Jill Andrea Sellers, BSPHARM, PHARMD
• Tambra L Sellers, NP-C
• Samantha Grace Selsor, MS, RDN, LD
• Arnab Sengupta, M.D., MPH
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• Serenity Life Coaches LLC
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• Gregory James Serocki, RPH

• Case Management Agency in Springfield, MO
• Providers in Springfield, MO by specialty
• Case Management Agency in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 29, 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.