Organization Active NPI

Ageless Placements, Inc.

  • In Home Supportive Care Agency
  • Clearwater, FL
National Provider Identifier
1467762583
Registry record updated Oct 8, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
In Home Supportive Care AgencyTaxonomy code 253Z00000X
License
229084 Issued in FL
Legal business name
AGELESS PLACEMENTS, INC.
Practice address
600 Bypass Dr
Suite 203
Clearwater, FL 33764-5078
Phone
(727) 797-8580
Fax
(727) 797-8564
NPI assigned
Oct 8, 2010
Last updated
Oct 8, 2010By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 8, 2010

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

Authorized official

Name
Patricia Hole
Title
Vice President
Phone
(727) 797-8580

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
In Home Supportive Care Agency 253Z00000X 229084 FL Primary

Addresses

Primary practice location

600 Bypass Dr
Suite 203
Clearwater, FL 33764-5078

Mailing address

600 Bypass Dr
Suite 203
Clearwater, FL 33759
Phone (727) 797-8580

Other identifiers 1

IdentifierTypeStateIssuer
690114000MedicaidFL

National Provider Directory

National Provider Directory
Tax ID family
Ageless Placements Inc2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

NPI Registry JSON

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

{
    "created_epoch": "1286496000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1286496000000",
    "number": "1467762583",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "600 BYPASS DR",
            "address_2": "SUITE 203",
            "city": "CLEARWATER",
            "state": "FL",
            "postal_code": "33759",
            "telephone_number": "727-797-8580",
            "fax_number": "727-797-8564"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "600 BYPASS DR",
            "address_2": "SUITE 203",
            "city": "CLEARWATER",
            "state": "FL",
            "postal_code": "337645078",
            "telephone_number": "727-797-8580",
            "fax_number": "727-797-8564"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AGELESS PLACEMENTS, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-10-08",
        "last_updated": "2010-10-08",
        "status": "A",
        "authorized_official_last_name": "HOLE",
        "authorized_official_first_name": "PATRICIA",
        "authorized_official_title_or_position": "VICE PRESIDENT",
        "authorized_official_telephone_number": "727-797-8580"
    },
    "taxonomies": [
        {
            "code": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive Care",
            "state": "FL",
            "license": "229084",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "690114000",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Clearwater, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 8, 2010; 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.