Organization Active NPI

Aging Grace Supports Coordination

  • Case Management Agency
  • Willow Grove, PA
National Provider Identifier
1598006124
Registry record updated Mar 6, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Case Management AgencyTaxonomy code 251B00000X
Legal business name
AGING GRACE SUPPORTS COORDINATION
Practice address
404 Davisville Rd Ste 3
Willow Grove, PA 19090-2727
Phone
(215) 779-8526
NPI assigned
Mar 6, 2013
Last updated
Mar 6, 2013By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 6, 2013

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

Authorized official

Name
Ketty Pointe Jour
Title
Chief Executive Officer
Phone
(215) 779-8526

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Case Management Agency 251B00000X NU Primary

Addresses

Primary practice location

404 Davisville Rd Ste 3
Willow Grove, PA 19090-2727

Mailing address

404 Davisville Rd Ste 3
Willow Grove, PA 19090-2727
Phone (215) 779-8526

National Provider Directory

National Provider Directory

Locations

404 Davisville Rd
Ste 3
Willow Grove, PA 19090
Phone (215) 779-8526

NPI Registry JSON

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

{
    "created_epoch": "1362528000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1362528000000",
    "number": "1598006124",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "404 DAVISVILLE RD STE 3",
            "city": "WILLOW GROVE",
            "state": "PA",
            "postal_code": "190902727",
            "telephone_number": "215-779-8526"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "404 DAVISVILLE RD STE 3",
            "city": "WILLOW GROVE",
            "state": "PA",
            "postal_code": "190902727",
            "telephone_number": "215-779-8526"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AGING GRACE SUPPORTS COORDINATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-03-06",
        "last_updated": "2013-03-06",
        "status": "A",
        "authorized_official_last_name": "POINTE JOUR",
        "authorized_official_first_name": "KETTY",
        "authorized_official_title_or_position": "CHIEF EXECUTIVE OFFICER",
        "authorized_official_telephone_number": "215-779-8526"
    },
    "taxonomies": [
        {
            "code": "251B00000X",
            "taxonomy_group": "",
            "desc": "Case Management",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Willow Grove, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 6, 2013; 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.