Greater Wi Agency on Aging Resources

Primary specialty

Case Management AgencyTaxonomy code 251B00000X

Legal business name

GREATER WI AGENCY ON AGING RESOURCES

Practice address

1414 Macarthur Rd
Suite a
Madison, WI 53714-1318

Phone

(608) 243-5674

Fax

(866) 782-6158

NPI assigned

Jun 16, 2015

Organization subpart

No

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

Authorized official

Name

Debra Mould, CPA

Title

Cfo/Fiscal Manager

Phone

(608) 243-5674

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1434412800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1434412800000",
    "number": "1205217221",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1414 MACARTHUR RD",
            "address_2": "SUITE A",
            "city": "MADISON",
            "state": "WI",
            "postal_code": "537141318",
            "telephone_number": "608-243-5674",
            "fax_number": "866-782-6158"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1414 MACARTHUR RD",
            "address_2": "SUITE A",
            "city": "MADISON",
            "state": "WI",
            "postal_code": "537141318",
            "telephone_number": "608-243-5674",
            "fax_number": "866-782-6158"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GREATER WI AGENCY ON AGING RESOURCES",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-06-16",
        "last_updated": "2015-06-16",
        "status": "A",
        "authorized_official_last_name": "MOULD",
        "authorized_official_first_name": "DEBRA",
        "authorized_official_title_or_position": "CFO/FISCAL MANAGER",
        "authorized_official_telephone_number": "608-243-5674",
        "authorized_official_credential": "CPA"
    },
    "taxonomies": [
        {
            "code": "251B00000X",
            "taxonomy_group": "",
            "desc": "Case Management",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Case Management Agency in Madison, WI
• Providers in Madison, WI by specialty
• Case Management Agency in Wisconsin

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