NPIMap

Organization Active NPI

Lake Country Area Agency on Aging

  • Non-emergency Medical Transport (VAN)
  • South Hill, VA
National Provider Identifier
1487166054
Registry record updated Nov 3, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Non-emergency Medical Transport (VAN)Taxonomy code 343900000X
Legal business name
LAKE COUNTRY AREA AGENCY ON AGING
Practice address
1105 W Danville St
South Hill, VA 23970-3501
Phone
(434) 447-7661
Fax
(434) 447-4074
NPI assigned
Nov 3, 2017
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 3, 2017

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

Authorized official

Name
Gwen Hinzman
Title
President/Ceo
Phone
(434) 447-7661

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Non-emergency Medical Transport (VAN) 343900000X Primary

Addresses

Primary practice location

1105 W Danville St
South Hill, VA 23970-3501

Mailing address

1105 W Danville St
South Hill, VA 23970-3501
Phone (434) 447-7661

National Provider Directory

National Provider Directory
Tax ID family
Lake Country Area Agency on Aging2 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.

Locations

1105 W Danville St
South Hill, VA 23970
Phone (434) 447-7661

NPI Registry JSON

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

{
    "created_epoch": "1509667200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1509667200000",
    "number": "1487166054",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1105 W DANVILLE ST",
            "city": "SOUTH HILL",
            "state": "VA",
            "postal_code": "239703501",
            "telephone_number": "434-447-7661",
            "fax_number": "434-447-4074"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1105 W DANVILLE ST",
            "city": "SOUTH HILL",
            "state": "VA",
            "postal_code": "239703501",
            "telephone_number": "434-447-7661",
            "fax_number": "434-447-4074"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LAKE COUNTRY AREA AGENCY ON AGING",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-11-03",
        "last_updated": "2017-11-03",
        "status": "A",
        "authorized_official_last_name": "HINZMAN",
        "authorized_official_first_name": "GWEN",
        "authorized_official_title_or_position": "PRESIDENT/CEO",
        "authorized_official_telephone_number": "434-447-7661"
    },
    "taxonomies": [
        {
            "code": "343900000X",
            "taxonomy_group": "",
            "desc": "Non-emergency Medical Transport (VAN)",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in South Hill, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 3, 2017; 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.