Age Management, LLC

Primary specialty

Early Intervention Provider AgencyTaxonomy code 252Y00000X

Legal business name

AGE MANAGEMENT, LLC

Practice address

4550 Plainfield Ave NE
Grand Rapids, MI 49525-1642

Phone

(616) 381-4001

NPI assigned

Mar 26, 2026

Last updated

Apr 8, 2026By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Autumn M Wilson

Title

Administrator

Phone

(260) 609-8792

Specialties & licenses 2

Addresses

Locations

Practitioners 3

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.

• Ava Celine Betts

  • Behavior Technician
  • Grand Rapids, MI
  • NPI 1386510733
  NPD (past)
• Gianna Randazzo

  • Behavior Technician
  • Grand Rapids, MI
  • NPI 1164349551
  NPD (past)
• Gracie Linne Stamp

  • Behavior Technician
  • Grand Rapids, MI
  • NPI 1912868472
  NPD (past)

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

{
    "created_epoch": "1774483200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1775606400000",
    "number": "1376482281",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4550 PLAINFIELD AVE NE",
            "city": "GRAND RAPIDS",
            "state": "MI",
            "postal_code": "495251642"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4550 PLAINFIELD AVE NE",
            "city": "GRAND RAPIDS",
            "state": "MI",
            "postal_code": "495251642",
            "telephone_number": "616-381-4001"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AGE MANAGEMENT, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2026-03-26",
        "last_updated": "2026-04-08",
        "certification_date": "2026-04-08",
        "status": "A",
        "authorized_official_last_name": "WILSON",
        "authorized_official_first_name": "AUTUMN",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "260-609-8792"
    },
    "taxonomies": [
        {
            "code": "252Y00000X",
            "taxonomy_group": "",
            "desc": "Early Intervention Provider Agency",
            "state": "NU",
            "license": null,
            "primary": true
        },
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Agape Family Home Care by E
• Kathryn Agar
• Eyoome K Agbley, PA-C
• Age Management and Hormone Balance Center
• Age Management of West Michigan PC
• Jill Agents
• Ashley Nicole Agerson, MD
• Kirk Joseph Agerson, MD
• Shefali Aggarwal, M.D
• Brooke Lynn Aggeler, MSC, LPC

• Early Intervention Provider Agency in Grand Rapids, MI
• Providers in Grand Rapids, MI by specialty
• Early Intervention Provider Agency in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 8, 2026; 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.