Organization Active NPI

Lebanon County Area Agency on Aging

  • Case Management Agency
  • Lebanon, PA
National Provider Identifier
1235288788
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Case Management AgencyTaxonomy code 251B00000X
Legal business name
LEBANON COUNTY AREA AGENCY ON AGING
Practice address
710 Maple St FL 2
Lebanon, PA 17046-3537
Phone
(717) 273-9262
Fax
(717) 274-3882
NPI assigned
Jan 10, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Michael Kristovensky
Title
Director
Phone
(717) 273-9262

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Case Management Agency 251B00000X Primary

Addresses

Primary practice location

710 Maple St FL 2
Lebanon, PA 17046-3537

Mailing address

710 Maple St FL 2
Lebanon, PA 17046-3537
Phone (717) 273-9262

National Provider Directory

National Provider Directory
Tax ID family
Lebanon County Commissioners11 organizations share this tax ID, including this one

Other organizations with this tax ID 10

Organizations that report the same tax identification number in the National Provider Directory.

Locations

710 Maple St
Fl 2
Lebanon, PA 17046
Phone (717) 273-9262

NPI Registry JSON

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

{
    "created_epoch": "1168387200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1235288788",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "710 MAPLE ST FL 2",
            "city": "LEBANON",
            "state": "PA",
            "postal_code": "170463537",
            "telephone_number": "717-273-9262",
            "fax_number": "717-274-3882"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "710 MAPLE ST FL 2",
            "city": "LEBANON",
            "state": "PA",
            "postal_code": "170463537",
            "telephone_number": "717-273-9262",
            "fax_number": "717-274-3882"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LEBANON COUNTY AREA AGENCY ON AGING",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-10",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "KRISTOVENSKY",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "717-273-9262"
    },
    "taxonomies": [
        {
            "code": "251B00000X",
            "taxonomy_group": "",
            "desc": "Case Management",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lebanon, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 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.