Active NPI
District III Area Agency on Aging
- Home Delivered Meals
- Warrensburg, MO
National Provider Identifier
1417075862
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Home Delivered Meals
- Legal business name
- DISTRICT III AREA AGENCY ON AGING
- Practice address
- 106 W Young Ave
Suite H
Warrensburg, MO 64093-1124 - Phone
- (660) 747-3107
- Fax
- (660) 747-3100
- NPI assigned
- Mar 26, 2007
- 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
- Mrs. Cheryl Munsterman
- Title
- Chief Financial Officer
- Phone
- (660) 747-3107
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Home Delivered Meals | 332U00000X | Primary |
Addresses
Primary practice location
106 W Young Ave
Suite H
Warrensburg, MO 64093-1124
Mailing address
106 W Young Ave
Suite H
Warrensburg, MO 64093-1124
Phone (660) 747-3107
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 279925408 | Medicaid | MO | |
| 288097603 | Medicaid | MO |
Other names 1
- Care Connection
National Provider Directory
National Provider Directory- Tax ID family
- Care Connection
Other organizations with this tax ID 1
Organizations that report the same tax identification number in the National Provider Directory.
-
- Voluntary or Charitable Agency
- Warrensburg, MO
- NPI 1023554391
Locations
106 W Young Ave
Ste H
Warrensburg, MO 64093
Phone (660) 747-3107
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1174867200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1346198400000",
"number": "1417075862",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "106 W YOUNG AVE",
"address_2": "SUITE H",
"city": "WARRENSBURG",
"state": "MO",
"postal_code": "640931124",
"telephone_number": "660-747-3107",
"fax_number": "660-747-3100"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "106 W YOUNG AVE",
"address_2": "SUITE H",
"city": "WARRENSBURG",
"state": "MO",
"postal_code": "640931124",
"telephone_number": "660-747-3107",
"fax_number": "660-747-3100"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "DISTRICT III AREA AGENCY ON AGING",
"organizational_subpart": "NO",
"enumeration_date": "2007-03-26",
"last_updated": "2012-08-29",
"status": "A",
"authorized_official_last_name": "MUNSTERMAN",
"authorized_official_first_name": "CHERYL",
"authorized_official_title_or_position": "CHIEF FINANCIAL OFFICER",
"authorized_official_telephone_number": "660-747-3107",
"authorized_official_name_prefix": "Mrs."
},
"taxonomies": [
{
"code": "332U00000X",
"taxonomy_group": "",
"desc": "Home Delivered Meals",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "279925408",
"state": "MO"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "288097603",
"state": "MO"
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "Care Connection",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Warrensburg, MO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 29, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.