Active NPI
Area Agency on Aging of Western Michigan
- Case Management Agency
- Grand Rapids, MI
National Provider Identifier
1265675391
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Case Management Agency
- Legal business name
- AREA AGENCY ON AGING OF WESTERN MICHIGAN
- Practice address
- 1279 Cedar St NE
Grand Rapids, MI 49503-1378 - Phone
- (616) 456-5664
- Fax
- (616) 456-5693
- NPI assigned
- Apr 20, 2009
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mr. Thomas Czerwinski
- Title
- Director
- Phone
- (616) 456-5664
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Case Management Agency | 251B00000X | Primary |
Addresses
Primary practice location
1279 Cedar St NE
Grand Rapids, MI 49503-1378
Mailing address
1279 Cedar St NE
Grand Rapids, MI 49503-1378
Phone (616) 456-5664
National Provider Directory
National Provider Directory- Tax ID family
- Area Agency on Aging of Western Michigan
Other organizations with this tax ID 1
Organizations that report the same tax identification number in the National Provider Directory.
-
- Case Management Agency
- Grand Rapids, MI
- NPI 1942380134
Locations
1279 Cedar St NE
Grand Rapids, MI 49503
Phone (616) 456-5664
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1240185600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1240185600000",
"number": "1265675391",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1279 CEDAR ST NE",
"city": "GRAND RAPIDS",
"state": "MI",
"postal_code": "495031378",
"telephone_number": "616-456-5664",
"fax_number": "616-456-5693"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1279 CEDAR ST NE",
"city": "GRAND RAPIDS",
"state": "MI",
"postal_code": "495031378",
"telephone_number": "616-456-5664",
"fax_number": "616-456-5693"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "AREA AGENCY ON AGING OF WESTERN MICHIGAN",
"organizational_subpart": "NO",
"enumeration_date": "2009-04-20",
"last_updated": "2009-04-20",
"status": "A",
"authorized_official_last_name": "CZERWINSKI",
"authorized_official_first_name": "THOMAS",
"authorized_official_title_or_position": "DIRECTOR",
"authorized_official_telephone_number": "616-456-5664",
"authorized_official_name_prefix": "Mr."
},
"taxonomies": [
{
"code": "251B00000X",
"taxonomy_group": "",
"desc": "Case Management",
"state": null,
"license": null,
"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 Apr 20, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.