Commission on Aging-Inc

Primary specialty

In Home Supportive Care AgencyTaxonomy code 253Z00000X

Legal business name

COMMISSION ON AGING-INC

Practice address

501 Heritage Dr Ste 117
Oxford, MS 38655-5459

Phone

(662) 533-0851

NPI assigned

Apr 2, 2019

Organization subpart

No

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

Authorized official

Name

Carl Robinson

Title

Ceo

Phone

(949) 441-9900

Specialties & licenses 1

Addresses

Other identifiers 1

Electronic endpoints 1

Locations

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

{
    "created_epoch": "1554163200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1554163200000",
    "number": "1427510049",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "501 HERITAGE DR STE 118",
            "city": "OXFORD",
            "state": "MS",
            "postal_code": "386555459",
            "telephone_number": "662-533-0851",
            "fax_number": "844-272-3002"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "501 HERITAGE DR STE 117",
            "city": "OXFORD",
            "state": "MS",
            "postal_code": "386555459",
            "telephone_number": "662-533-0851"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COMMISSION ON AGING-INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-04-02",
        "last_updated": "2019-04-02",
        "status": "A",
        "authorized_official_last_name": "ROBINSON",
        "authorized_official_first_name": "CARL",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "949-441-9900"
    },
    "taxonomies": [
        {
            "code": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "01522861",
            "state": "MS"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "brobinson@ourcoa.net",
            "affiliation": "N",
            "endpointDescription": "COA email",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "501 Heritage Dr Ste 117",
            "city": "Oxford",
            "state": "MS",
            "country_code": "US",
            "postal_code": "386555459",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

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• In Home Supportive Care Agency in Oxford, MS
• Providers in Oxford, MS by specialty
• In Home Supportive Care Agency in Mississippi

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 2, 2019; 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.