Active NPI
Aging Grace Supports Coordination
- Case Management Agency
- Willow Grove, PA
National Provider Identifier
1598006124
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Case Management Agency
- 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, 2013
- Organization subpart
- No
NPPES NPI Registry
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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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 DirectoryLocations
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
- Victoria Adedoja Adewale, MD
- Advanced Smile Design PC
- Advanced Urgent Care of Willow Grove LLC
- Advanced Urgent Care of Willow Grove LLC
- Advocare , LLC (Advocare Gable Medical Group)
- Aisol WG LLC (All In Solutions Counseling Center Willow Grove)
- Jamil Akil, LPC
- Akshar Purushottam Corporation
- Francine Albert, LCSW
- Alberta Care Nursing Services
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.