NPIMap

Organization Active NPI

Area Agency on Aging of Western Michigan Inc.

  • Case Management Agency
  • Grand Rapids, MI
National Provider Identifier
1174965115
Registry record updated Feb 26, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Case Management AgencyTaxonomy code 251B00000X
License
874121 Issued in MI
Legal business name
AREA AGENCY ON AGING OF WESTERN MICHIGAN INC.
Practice address
3215 Eagle Crest Dr NE
Grand Rapids, MI 49525-7005
Phone
(616) 456-5664
Fax
(616) 456-5692
NPI assigned
Jul 18, 2013
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 26, 2015

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

Authorized official

Name
Mr. Thomas Edward Czerwinski
Title
Executive Director
Phone
(616) 222-7001

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Case Management Agency 251B00000X 874121 MI Primary

Addresses

Primary practice location

3215 Eagle Crest Dr NE
Grand Rapids, MI 49525-7005

Mailing address

3215 Eagle Crest Dr NE
Grand Rapids, MI 49525-7005
Phone (616) 456-5664

National Provider Directory

National Provider Directory

Locations

3215 Eagle Crest Dr NE
Grand Rapids, MI 49525
Phone (616) 209-8745

Practitioners & affiliated clinicians

Practitioners 6

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1374105600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1424908800000",
    "number": "1174965115",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3215 EAGLE CREST DR NE",
            "city": "GRAND RAPIDS",
            "state": "MI",
            "postal_code": "495257005",
            "telephone_number": "616-456-5664",
            "fax_number": "616-456-5692"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3215 EAGLE CREST DR NE",
            "city": "GRAND RAPIDS",
            "state": "MI",
            "postal_code": "495257005",
            "telephone_number": "616-456-5664",
            "fax_number": "616-456-5692"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AREA AGENCY ON AGING OF WESTERN MICHIGAN INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-07-18",
        "last_updated": "2015-02-26",
        "status": "A",
        "authorized_official_last_name": "CZERWINSKI",
        "authorized_official_first_name": "THOMAS",
        "authorized_official_middle_name": "EDWARD",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "616-222-7001",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "251B00000X",
            "taxonomy_group": "",
            "desc": "Case Management",
            "state": "MI",
            "license": "874121",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Grand Rapids, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 26, 2015; 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.