NPIMap

Organization Active NPI

Valley Area Agency on Aging

  • Case Management Agency
  • Flint, MI
National Provider Identifier
1265444897
Registry record updated Apr 2, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Case Management AgencyTaxonomy code 251B00000X
Legal business name
VALLEY AREA AGENCY ON AGING
Practice address
711 N Saginaw St
Suite 111
Flint, MI 48503-1758
Phone
(810) 239-7671
NPI assigned
Aug 12, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 2, 2015

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

Authorized official

Name
Ms. Kathy Boles
Title
Executive Director
Phone
(810) 239-7671

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Case Management Agency 251B00000X Primary

Addresses

Primary practice location

711 N Saginaw St
Suite 111
Flint, MI 48503-1758

Mailing address

225 E. Fifth Street Valley Area Agency on Aging
200
Flint, MI 48502
Phone (810) 239-7671

Other identifiers 2

IdentifierTypeStateIssuer
4509478MedicaidMI
4508935MedicaidMI

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MI

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20151001000076 MI Part B Supplier - Clinic/Group Practice 3274841861 Receives reassigned benefits from 2 practitioners
Practice locations: Flint, MI

National Provider Directory

National Provider Directory
Tax ID family
Valley Area Agency on Aging2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

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

Locations

225 E 5th St
Ste 200
Flint, MI 48502
Phone (810) 239-7671

Practitioners & affiliated clinicians

Practitioners 11

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": "1155340800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1427932800000",
    "number": "1265444897",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "225 E. FIFTH STREET VALLEY AREA AGENCY ON AGING",
            "address_2": "200",
            "city": "FLINT",
            "state": "MI",
            "postal_code": "48502",
            "telephone_number": "810-239-7671",
            "fax_number": "810-239-8869"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "711 N SAGINAW ST",
            "address_2": "SUITE 111",
            "city": "FLINT",
            "state": "MI",
            "postal_code": "485031758",
            "telephone_number": "810-239-7671"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VALLEY AREA AGENCY ON AGING",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-12",
        "last_updated": "2015-04-02",
        "status": "A",
        "authorized_official_last_name": "BOLES",
        "authorized_official_first_name": "KATHY",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "810-239-7671",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "251B00000X",
            "taxonomy_group": "",
            "desc": "Case Management",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "4509478",
            "state": "MI"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "4508935",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Flint, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 2, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.