Mid East Area Agency on Aging

Primary specialty

Voluntary or Charitable AgencyTaxonomy code 251V00000X

Legal business name

MID EAST AREA AGENCY ON AGING

Practice address

14535 Manchester Rd
Ballwin, MO 63011-3960

Phone

(636) 207-0847

Fax

(636) 207-1329

NPI assigned

Jun 14, 2016

Organization subpart

No

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

Authorized official

Name

Mary Schaefer

Title

Executive Director

Phone

(636) 207-0847

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1465862400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1465862400000",
    "number": "1477903110",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14535 MANCHESTER RD",
            "city": "BALLWIN",
            "state": "MO",
            "postal_code": "630113960",
            "telephone_number": "636-207-0847",
            "fax_number": "636-207-1329"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14535 MANCHESTER RD",
            "city": "BALLWIN",
            "state": "MO",
            "postal_code": "630113960",
            "telephone_number": "636-207-0847",
            "fax_number": "636-207-1329"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MID EAST AREA AGENCY ON AGING",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-06-14",
        "last_updated": "2016-06-14",
        "status": "A",
        "authorized_official_last_name": "SCHAEFER",
        "authorized_official_first_name": "MARY",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "636-207-0847"
    },
    "taxonomies": [
        {
            "code": "251V00000X",
            "taxonomy_group": "",
            "desc": "Voluntary or Charitable",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• All providers in Ballwin, MO
• Voluntary or Charitable Agency in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 14, 2016; 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.