Active NPI
Marshall County Council on Aging
- Home Delivered Meals
- Plymouth, IN
National Provider Identifier
1629103684
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Home Delivered Meals
- Legal business name
- MARSHALL COUNTY COUNCIL ON AGING
- Practice address
- 1305 W Harrison Street
Plymouth, IN 46563 - Phone
- (574) 936-9904
- Fax
- (574) 936-9904
- NPI assigned
- Feb 22, 2007
- 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
- Ms. Jacqueline Ann Wright
- Title
- Executive Director
- Phone
- (574) 936-9904
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Home Delivered Meals | 332U00000X | Primary | ||
| Non-emergency Medical Transport (VAN) | 343900000X | |||
| Homemaker | 376J00000X |
Addresses
Primary practice location
1305 W Harrison Street
Plymouth, IN 46563
Mailing address
1305 W Harrison Street
Plymouth, IN 46563
Phone (574) 936-9904
National Provider Directory
National Provider DirectoryLocations
1305 W Harrison St
Plymouth, IN 46563
Phone (574) 936-9904
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1172102400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1757548800000",
"number": "1629103684",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1305 W HARRISON STREET",
"city": "PLYMOUTH",
"state": "IN",
"postal_code": "46563",
"telephone_number": "574-936-9904",
"fax_number": "574-936-9904"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1305 W HARRISON STREET",
"city": "PLYMOUTH",
"state": "IN",
"postal_code": "46563",
"telephone_number": "574-936-9904",
"fax_number": "574-936-9904"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "MARSHALL COUNTY COUNCIL ON AGING",
"organizational_subpart": "NO",
"enumeration_date": "2007-02-22",
"last_updated": "2025-09-11",
"status": "A",
"authorized_official_last_name": "WRIGHT",
"authorized_official_first_name": "JACQUELINE",
"authorized_official_middle_name": "ANN",
"authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
"authorized_official_telephone_number": "574-936-9904",
"authorized_official_name_prefix": "Ms."
},
"taxonomies": [
{
"code": "332U00000X",
"taxonomy_group": "",
"desc": "Home Delivered Meals",
"state": null,
"license": null,
"primary": true
},
{
"code": "343900000X",
"taxonomy_group": "",
"desc": "Non-emergency Medical Transport (VAN)",
"state": null,
"license": null,
"primary": false
},
{
"code": "376J00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Homemaker",
"state": null,
"license": null,
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Plymouth, IN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 11, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.