Organization Active NPI

Milestones Area Agency on Aging

  • Home Delivered Meals
  • Ottumwa, IA
National Provider Identifier
1194862565
Registry record updated Dec 5, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Delivered MealsTaxonomy code 332U00000X
Legal business name
MILESTONES AREA AGENCY ON AGING
Practice address
117 N Cooper Ave
Suite 2
Ottumwa, IA 52501-3322
Phone
(641) 682-2270
Fax
(641) 682-2445
NPI assigned
Feb 1, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 5, 2018

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

Authorized official

Name
Tina Lynn Jaegers
Title
Fiscal Director
Phone
(641) 682-2270

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Meals Provider 174200000X
Case Management Agency 251B00000X
Home Delivered Meals 332U00000X Primary

Addresses

Primary practice location

117 N Cooper Ave
Suite 2
Ottumwa, IA 52501-3322

Mailing address

935 E 53Rd St
Davenport, IA 52807-2633
Phone (641) 682-2270

Other identifiers 1

IdentifierTypeStateIssuer
0107862MedicaidIA

National Provider Directory

National Provider Directory

Locations

117 N Cooper Ave
Ste 2
Ottumwa, IA 52501
Phone (641) 682-2270

NPI Registry JSON

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

{
    "created_epoch": "1170288000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1543968000000",
    "number": "1194862565",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "935 E 53RD ST",
            "city": "DAVENPORT",
            "state": "IA",
            "postal_code": "528072633",
            "telephone_number": "641-682-2270",
            "fax_number": "641-682-2445"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "117 N COOPER AVE",
            "address_2": "SUITE 2",
            "city": "OTTUMWA",
            "state": "IA",
            "postal_code": "525013322",
            "telephone_number": "641-682-2270",
            "fax_number": "641-682-2445"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MILESTONES AREA AGENCY ON AGING",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-01",
        "last_updated": "2018-12-05",
        "status": "A",
        "authorized_official_last_name": "JAEGERS",
        "authorized_official_first_name": "TINA",
        "authorized_official_middle_name": "LYNN",
        "authorized_official_title_or_position": "FISCAL DIRECTOR",
        "authorized_official_telephone_number": "641-682-2270"
    },
    "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": false
        },
        {
            "code": "332U00000X",
            "taxonomy_group": "",
            "desc": "Home Delivered Meals",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0107862",
            "state": "IA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Ottumwa, IA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 5, 2018; 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.