Mid-Florida Area Agency on Aging

Primary specialty

In Home Supportive Care AgencyTaxonomy code 253Z00000X

Legal business name

MID-FLORIDA AREA AGENCY ON AGING

Practice address

100 SW 75TH St
Suite 301
Gainesville, FL 32607-5779

Phone

(352) 695-5222

Fax

(352) 378-1256

NPI assigned

May 18, 2012

Organization subpart

No

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

Authorized official

Name

Ms. Kristen Griffis

Title

Chief Executive Officer

Phone

(352) 378-6649

Specialties & licenses 2

Addresses

Other identifiers 1

Other names 1

• Elder Options Doing business as

Locations

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

{
    "created_epoch": "1337299200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1649721600000",
    "number": "1639439128",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "100 SW 75TH ST",
            "address_2": "SUITE 301",
            "city": "GAINESVILLE",
            "state": "FL",
            "postal_code": "326075779",
            "telephone_number": "352-695-5222",
            "fax_number": "352-378-1256"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "100 SW 75TH ST",
            "address_2": "SUITE 301",
            "city": "GAINESVILLE",
            "state": "FL",
            "postal_code": "326075779",
            "telephone_number": "352-695-5222",
            "fax_number": "352-378-1256"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MID-FLORIDA AREA AGENCY ON AGING",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-05-18",
        "last_updated": "2022-04-12",
        "certification_date": "2022-04-12",
        "status": "A",
        "authorized_official_last_name": "GRIFFIS",
        "authorized_official_first_name": "KRISTEN",
        "authorized_official_title_or_position": "CHIEF EXECUTIVE OFFICER",
        "authorized_official_telephone_number": "352-378-6649",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "251K00000X",
            "taxonomy_group": "",
            "desc": "Public Health or Welfare",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "860111900",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Elder Options",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Elder Options",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Michelles Companion Service LLC
• Beth Norma Michelson, LMT
• Florina Mickel, APRN
• Casandra Mickens, MSW
• Tanya J Mickler, PHD
• Robert Middaugh III, PHYSICAL THERAPIST
• Sara Allgood Middlebrooks, CRNA
• Angela Pennisi Middleton, AP
• Charles Edward Middleton IV, MD
• Joshua Robert Middleton, MD

• In Home Supportive Care Agency in Gainesville, FL
• Providers in Gainesville, FL by specialty
• In Home Supportive Care Agency in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 12, 2022; 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.