NPIMap

Organization Active NPI

Aging Well Health and Wellnes

Doing business as Aging Well Healthcare Services

  • Case Manager/Care Coordinator
  • Appomattox, VA
National Provider Identifier
1164912622
Registry record updated Feb 16, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Case Manager/Care CoordinatorTaxonomy code 171M00000X
Legal business name
AGING WELL HEALTH AND WELLNES
Doing business as
Aging Well Healthcare Services
Practice address
7631B Richmond Hwy
Appomattox, VA 24522-8679
Phone
(804) 869-5045
NPI assigned
May 10, 2018
Last updated
Feb 16, 2023By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 16, 2023

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

Authorized official

Name
Dana C Gunn, RNNPI 1992496087
Title
Owner/Administrator
Phone
(804) 869-5045

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 5

Specialty (taxonomy)CodeLicenseStatePrimary
Case Management Agency 251B00000X
Home Health Agency 251E00000X
Personal Care Attendant 3747P1801X
Respite Care 385H00000X VA
Case Manager/Care Coordinator 171M00000X Primary

Addresses

Primary practice location

7631B Richmond Hwy
Appomattox, VA 24522-8679

Mailing address

670 N Creek Rd
Appomattox, VA 24522-8531
Phone (804) 869-5045

Other identifiers 1

IdentifierTypeStateIssuer
1164912622MedicaidVA

Other names 1

  • AGING WELL HEALTHCARE SERVICES Doing business as

National Provider Directory

National Provider Directory

Locations

7631B Richmond Hwy
Appomattox, VA 24522
Phone (434) 352-8000

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1525910400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1676505600000",
    "number": "1164912622",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "670 N CREEK RD",
            "city": "APPOMATTOX",
            "state": "VA",
            "postal_code": "245228531",
            "telephone_number": "804-869-5045"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7631B RICHMOND HWY",
            "city": "APPOMATTOX",
            "state": "VA",
            "postal_code": "245228679",
            "telephone_number": "804-869-5045"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AGING WELL HEALTH AND WELLNES",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-05-10",
        "last_updated": "2023-02-16",
        "certification_date": "2023-02-16",
        "status": "A",
        "authorized_official_last_name": "GUNN",
        "authorized_official_first_name": "DANA",
        "authorized_official_middle_name": "C",
        "authorized_official_title_or_position": "OWNER/ADMINISTRATOR",
        "authorized_official_telephone_number": "804-869-5045",
        "authorized_official_credential": "RN"
    },
    "taxonomies": [
        {
            "code": "251B00000X",
            "taxonomy_group": "",
            "desc": "Case Management",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "3747P1801X",
            "taxonomy_group": "",
            "desc": "Technician, Personal Care Attendant",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "385H00000X",
            "taxonomy_group": "",
            "desc": "Respite Care",
            "state": "VA",
            "license": null,
            "primary": false
        },
        {
            "code": "171M00000X",
            "taxonomy_group": "",
            "desc": "Case Manager/Care Coordinator",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1164912622",
            "state": "VA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "AGING WELL HEALTHCARE SERVICES",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "AGING WELL HEALTHCARE SERVICES",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Appomattox, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 16, 2023; 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.