Otsego County Commission on Aging

Primary specialty

Adult Day Care Clinic/CenterTaxonomy code 261QA0600X

Legal business name

OTSEGO COUNTY COMMISSION ON AGING

Practice address

1165 Elkview Ave.
Gaylord, MI 49735

Phone

(989) 732-1122

Fax

(989) 732-9050

NPI assigned

Sep 6, 2016

Organization subpart

No

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

Authorized official

Name

Dona J. Wishart

Title

Executive Director

Phone

(989) 732-1122

Specialties & licenses 3

Addresses

Locations

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

{
    "created_epoch": "1473120000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1732233600000",
    "number": "1598212797",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 430",
            "city": "GAYLORD",
            "state": "MI",
            "postal_code": "497340430",
            "telephone_number": "989-748-4072",
            "fax_number": "989-732-9050"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1165 ELKVIEW AVE.",
            "city": "GAYLORD",
            "state": "MI",
            "postal_code": "49735",
            "telephone_number": "989-732-1122",
            "fax_number": "989-732-9050"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "OTSEGO COUNTY COMMISSION ON AGING",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-09-06",
        "last_updated": "2024-11-22",
        "certification_date": "2024-11-22",
        "status": "A",
        "authorized_official_last_name": "WISHART",
        "authorized_official_first_name": "DONA",
        "authorized_official_middle_name": "J.",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "989-732-1122"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QA0600X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adult Day Care",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "385H00000X",
            "taxonomy_group": "",
            "desc": "Respite Care",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Oryx Men'S Health LLC
• Amy Lynn Osborn
• Halie Ann Osborne-Orourke
• James Bernard Oswald, COTA
• Otsego County Ambulance Corps, Inc.
• Otsego Physician Services PC
• Jeremy D Otto, PHARM.D.
• Thomas Overett
• Genevieve L Owens, BEHAVIOR TECHNICIAN
• Samantha Rene' Packard, LMT

• Adult Day Care Clinic/Center in Gaylord, MI
• Providers in Gaylord, MI by specialty
• Adult Day Care Clinic/Center in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 22, 2024; 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.