Organization Active NPI

Scenic Valley Area VIII Agency on Aging

  • Case Management Agency
  • Dubuque, IA
National Provider Identifier
1366513780
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Case Management AgencyTaxonomy code 251B00000X
Legal business name
SCENIC VALLEY AREA VIII AGENCY ON AGING
Practice address
3505 Stoneman Rd Ste 4
Dubuque, IA 52002-5305
Phone
(563) 588-3970
Fax
(563) 588-1952
NPI assigned
Nov 10, 2006
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
Mr. Linda McDonald
Title
Director
Phone
(563) 588-3970

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Case Management Agency 251B00000X IA Primary

Addresses

Primary practice location

3505 Stoneman Rd Ste 4
Dubuque, IA 52002-5305

Mailing address

3505 Stoneman Rd Ste 4
Dubuque, IA 52002-5305
Phone (563) 588-3970

Other identifiers 1

IdentifierTypeStateIssuer
0185181MedicaidIA

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1163116800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1366513780",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3505 STONEMAN RD STE 4",
            "city": "DUBUQUE",
            "state": "IA",
            "postal_code": "520025305",
            "telephone_number": "563-588-3970",
            "fax_number": "563-588-1952"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3505 STONEMAN RD STE 4",
            "city": "DUBUQUE",
            "state": "IA",
            "postal_code": "520025305",
            "telephone_number": "563-588-3970",
            "fax_number": "563-588-1952"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SCENIC VALLEY AREA VIII AGENCY ON AGING",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-10",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "MCDONALD",
        "authorized_official_first_name": "LINDA",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "563-588-3970",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "251B00000X",
            "taxonomy_group": "",
            "desc": "Case Management",
            "state": "IA",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0185181",
            "state": "IA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Dubuque, IA

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.