Organization Active NPI

Central Alabama Aging Consortium

  • Case Management Agency
  • Montgomery, AL
National Provider Identifier
1457094187
Registry record updated Apr 20, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Case Management AgencyTaxonomy code 251B00000X
Legal business name
CENTRAL ALABAMA AGING CONSORTIUM
Practice address
2500 Fairlane Dr Ste 200
Montgomery, AL 36116-1651
Phone
(334) 240-4680
Fax
(334) 240-4681
NPI assigned
Apr 20, 2022
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 20, 2022

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

Authorized official

Name
Mrs. Susan Jean Segrest
Title
Executive Director
Phone
(334) 240-4668

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Case Management Agency 251B00000X Primary

Addresses

Primary practice location

2500 Fairlane Dr Ste 200
Montgomery, AL 36116-1651

Mailing address

2500 Fairlane Dr Ste 200
Montgomery, AL 36116-1651
Phone (334) 240-4680

National Provider Directory

National Provider Directory

Locations

2500 Fairlane Dr
Ste 200
Montgomery, AL 36116
Phone (334) 240-4680

NPI Registry JSON

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

{
    "created_epoch": "1650412800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1650412800000",
    "number": "1457094187",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2500 FAIRLANE DR STE 200",
            "city": "MONTGOMERY",
            "state": "AL",
            "postal_code": "361161651",
            "telephone_number": "334-240-4680",
            "fax_number": "334-240-4681"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2500 FAIRLANE DR STE 200",
            "city": "MONTGOMERY",
            "state": "AL",
            "postal_code": "361161651",
            "telephone_number": "334-240-4680",
            "fax_number": "334-240-4681"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CENTRAL ALABAMA AGING CONSORTIUM",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-04-20",
        "last_updated": "2022-04-20",
        "certification_date": "2022-04-20",
        "status": "A",
        "authorized_official_last_name": "SEGREST",
        "authorized_official_first_name": "SUSAN",
        "authorized_official_middle_name": "JEAN",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "334-240-4668",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "251B00000X",
            "taxonomy_group": "",
            "desc": "Case Management",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Montgomery, AL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 20, 2022; 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.