NPIMap

Organization Active NPI

Region IV Area Agency on Aging, Inc

  • Case Management Agency
  • Saint Joseph, MI
National Provider Identifier
1366524985
Registry record updated Jul 19, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Case Management AgencyTaxonomy code 251B00000X
Legal business name
REGION IV AREA AGENCY ON AGING, INC
Practice address
2900 Lakeview Ave
Saint Joseph, MI 49085-2379
Phone
(269) 983-0177
NPI assigned
Oct 20, 2006
Last updated
Jul 19, 2023By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 19, 2023

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

Authorized official

Name
Christine Vanlandingham
Title
Ceo
Phone
(269) 983-0177

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Case Management Agency 251B00000X Primary
Primary Care Clinic/Center 261QP2300X

Addresses

Primary practice location

2900 Lakeview Ave
Saint Joseph, MI 49085-2379

Mailing address

2900 Lakeview Ave
Saint Joseph, MI 49085-2379
Phone (269) 983-0177

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20160908000217 MI Part B Supplier - Clinic/Group Practice 7315233905 Receives reassigned benefits from 7 practitioners
Practice locations: Saint Joseph, MI

National Provider Directory

National Provider Directory
Tax ID family
Region IV Area Agncy Inc3 organizations share this tax ID, including this one

Other organizations with this tax ID 2

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

Practitioners & affiliated clinicians

Practitioners 7

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1161302400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1689724800000",
    "number": "1366524985",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2900 LAKEVIEW AVE",
            "city": "SAINT JOSEPH",
            "state": "MI",
            "postal_code": "490852379",
            "telephone_number": "269-983-0177"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2900 LAKEVIEW AVE",
            "city": "SAINT JOSEPH",
            "state": "MI",
            "postal_code": "490852379",
            "telephone_number": "269-983-0177"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "REGION IV AREA AGENCY ON AGING, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-20",
        "last_updated": "2023-07-19",
        "certification_date": "2023-07-19",
        "status": "A",
        "authorized_official_last_name": "VANLANDINGHAM",
        "authorized_official_first_name": "CHRISTINE",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "269-983-0177"
    },
    "taxonomies": [
        {
            "code": "251B00000X",
            "taxonomy_group": "",
            "desc": "Case Management",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "261QP2300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Primary Care",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Saint Joseph, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 19, 2023; 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.