Idaho Commission on Aging

Primary specialty

Case Management AgencyTaxonomy code 251B00000X

Legal business name

IDAHO COMMISSION ON AGING

Practice address

701 S Allen St
Suite 100
Meridian, ID 83642-3010

Phone

(208) 332-1769

Fax

(208) 888-1241

NPI assigned

Jul 9, 2014

Last updated

Jul 9, 2014By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Jeff Weller

Title

Deputy Administrator

Phone

(208) 332-1756

Specialties & licenses 1

Addresses

Other names 1

• Planning and Service Area III Area Agency on Aging Other name

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

{
    "created_epoch": "1404864000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1404864000000",
    "number": "1629484720",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "701 S ALLEN ST",
            "address_2": "SUITE 100",
            "city": "MERIDIAN",
            "state": "ID",
            "postal_code": "836423010",
            "telephone_number": "208-332-1769",
            "fax_number": "208-888-1241"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "701 S ALLEN ST",
            "address_2": "SUITE 100",
            "city": "MERIDIAN",
            "state": "ID",
            "postal_code": "836423010",
            "telephone_number": "208-332-1769",
            "fax_number": "208-888-1241"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "IDAHO COMMISSION ON AGING",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-07-09",
        "last_updated": "2014-07-09",
        "status": "A",
        "authorized_official_last_name": "WELLER",
        "authorized_official_first_name": "JEFF",
        "authorized_official_title_or_position": "DEPUTY ADMINISTRATOR",
        "authorized_official_telephone_number": "208-332-1756"
    },
    "taxonomies": [
        {
            "code": "251B00000X",
            "taxonomy_group": "",
            "desc": "Case Management",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Planning and Service Area III Area Agency on Aging",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

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• Case Management Agency in Meridian, ID
• Providers in Meridian, ID by specialty
• Case Management Agency in Idaho

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 9, 2014; 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.