Organization Active NPI

The SW Washington Council of Govs on Aging & Disabilities

Doing business as Area Agency on Aging & Disabilities of SW WA

  • Case Management Agency
  • Vancouver, WA
National Provider Identifier
1376939678
Registry record updated Apr 13, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Case Management AgencyTaxonomy code 251B00000X
Legal business name
THE SW WASHINGTON COUNCIL OF GOVS ON AGING & DISABILITIES
Doing business as
Area Agency on Aging & Disabilities of SW WA
Practice address
201 NE 73Rd St
Suite 201
Vancouver, WA 98665-8345
Phone
(360) 735-5720
NPI assigned
Apr 13, 2015
Last updated
Apr 13, 2015By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 13, 2015

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

Authorized official

Name
David Kelly
Title
Executive Director
Phone
(360) 735-5779

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Case Management Agency 251B00000X Primary

Addresses

Primary practice location

201 NE 73Rd St
Suite 201
Vancouver, WA 98665-8345

Mailing address

201 NE 73Rd St
Suite 201
Vancouver, WA 98665-8345
Phone (360) 735-5720

Other names 1

  • Area Agency on Aging & Disabilities of SW WA Doing business as

National Provider Directory

National Provider Directory

Locations

201 NE 73rd St
Ste 201
Vancouver, WA 98665
Phone (360) 735-5720

NPI Registry JSON

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

{
    "created_epoch": "1428883200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1428883200000",
    "number": "1376939678",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "201 NE 73RD ST",
            "address_2": "SUITE 201",
            "city": "VANCOUVER",
            "state": "WA",
            "postal_code": "986658345",
            "telephone_number": "360-735-5720"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "201 NE 73RD ST",
            "address_2": "SUITE 201",
            "city": "VANCOUVER",
            "state": "WA",
            "postal_code": "986658345",
            "telephone_number": "360-735-5720"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THE SW WASHINGTON COUNCIL OF GOVS ON AGING & DISABILITIES",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-04-13",
        "last_updated": "2015-04-13",
        "status": "A",
        "authorized_official_last_name": "KELLY",
        "authorized_official_first_name": "DAVID",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "360-735-5779"
    },
    "taxonomies": [
        {
            "code": "251B00000X",
            "taxonomy_group": "",
            "desc": "Case Management",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Area Agency on Aging & Disabilities of SW WA",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Vancouver, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 13, 2015; 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.