Organization Active NPI

Noble County Council on Aging Inc

  • Non-emergency Medical Transport (VAN)
  • Kendallville, IN
National Provider Identifier
1598511743
Registry record updated Apr 29, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Non-emergency Medical Transport (VAN)Taxonomy code 343900000X
Legal business name
NOBLE COUNTY COUNCIL ON AGING INC
Practice address
561 S Main St
Kendallville, IN 46755-2191
Phone
(260) 347-4226
Fax
(260) 347-3121
NPI assigned
Apr 29, 2024
Last updated
Apr 29, 2024By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 29, 2024

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

Authorized official

Name
Cherish Marie Mishleau
Title
Executive Director
Phone
(260) 347-4226

Specialties & licenses 1

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

Addresses

Primary practice location

561 S Main St
Kendallville, IN 46755-2191

Mailing address

561 S Main St
Kendallville, IN 46755-2191
Phone (260) 347-4226

Other identifiers 1

IdentifierTypeStateIssuer
300073829MedicaidIN

National Provider Directory

National Provider Directory

Locations

561 S Main St
Kendallville, IN 46755
Phone (260) 347-4226

NPI Registry JSON

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

{
    "created_epoch": "1714348800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1714348800000",
    "number": "1598511743",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "561 S MAIN ST",
            "city": "KENDALLVILLE",
            "state": "IN",
            "postal_code": "467552191",
            "telephone_number": "260-347-4226",
            "fax_number": "260-347-3121"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "561 S MAIN ST",
            "city": "KENDALLVILLE",
            "state": "IN",
            "postal_code": "467552191",
            "telephone_number": "260-347-4226",
            "fax_number": "260-347-3121"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NOBLE COUNTY COUNCIL ON AGING INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-04-29",
        "last_updated": "2024-04-29",
        "certification_date": "2024-04-29",
        "status": "A",
        "authorized_official_last_name": "MISHLEAU",
        "authorized_official_first_name": "CHERISH",
        "authorized_official_middle_name": "MARIE",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "260-347-4226"
    },
    "taxonomies": [
        {
            "code": "343900000X",
            "taxonomy_group": "",
            "desc": "Non-emergency Medical Transport (VAN)",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "300073829",
            "state": "IN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Kendallville, IN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 29, 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.