NPIMap

Organization Active NPI

Southeast Missouri Area Agency on Aging, Inc.

  • Home Delivered Meals
  • Cape Girardeau, MO
National Provider Identifier
1710597976
Registry record updated Aug 3, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Delivered MealsTaxonomy code 332U00000X
Legal business name
SOUTHEAST MISSOURI AREA AGENCY ON AGING, INC.
Doing business as
Aging Matters
Practice address
1078 Wolverine LN Ste J
Cape Girardeau, MO 63701-9021
Phone
(573) 335-3331
NPI assigned
Aug 3, 2020
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 3, 2020

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

Authorized official

Name
Regina Lee Vonhasseln
Title
Medicaid Billing Supervisor
Phone
(573) 335-3331

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Home Delivered Meals 332U00000X Primary

Addresses

Primary practice location

1078 Wolverine LN Ste J
Cape Girardeau, MO 63701-9021

Mailing address

1078 Wolverine LN Ste J
Cape Girardeau, MO 63701-9021
Phone (573) 335-3331

Other names 1

  • Aging Matters Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Aging Matters3 organizations share this tax ID, including this one

Other organizations with this tax ID 2

Organizations that report the same tax identification number in the National Provider Directory.

Locations

1078 Wolverine Ln
Ste J
Cape Girardeau, MO 63701
Phone (573) 335-3331

NPI Registry JSON

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

{
    "created_epoch": "1596412800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1596412800000",
    "number": "1710597976",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1078 WOLVERINE LN STE J",
            "city": "CAPE GIRARDEAU",
            "state": "MO",
            "postal_code": "637019021",
            "telephone_number": "573-335-3331"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1078 WOLVERINE LN STE J",
            "city": "CAPE GIRARDEAU",
            "state": "MO",
            "postal_code": "637019021",
            "telephone_number": "573-335-3331"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SOUTHEAST MISSOURI AREA AGENCY ON AGING, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-08-03",
        "last_updated": "2020-08-03",
        "certification_date": "2020-08-03",
        "status": "A",
        "authorized_official_last_name": "VONHASSELN",
        "authorized_official_first_name": "REGINA",
        "authorized_official_middle_name": "LEE",
        "authorized_official_title_or_position": "MEDICAID BILLING SUPERVISOR",
        "authorized_official_telephone_number": "573-335-3331"
    },
    "taxonomies": [
        {
            "code": "332U00000X",
            "taxonomy_group": "",
            "desc": "Home Delivered Meals",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Aging Matters",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Cape Girardeau, MO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 3, 2020; 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.