Active NPI
Southeast Iowa Area Agency on Aging, Inc.
- Case Management Agency
- Burlington, IA
National Provider Identifier
1750468427
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Case Management Agency
- Legal business name
- SOUTHEAST IOWA AREA AGENCY ON AGING, INC.
- Practice address
- 509 Jefferson St
Burlington, IA 52601-5427 - Phone
- (319) 752-5433
- NPI assigned
- Nov 1, 2006
- 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
- Dennis Zegarac
- Title
- Executitve Director
- Phone
- (319) 752-5433
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Case Management Agency | 251B00000X | Primary |
Addresses
Primary practice location
509 Jefferson St
Burlington, IA 52601-5427
Mailing address
509 Jefferson St
Burlington, IA 52601-5427
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0106898 | Medicaid | IA |
National Provider Directory
National Provider DirectoryLocations
509 Jefferson St
Burlington, IA 52601
Phone (319) 752-5433
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1162339200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1598054400000",
"number": "1750468427",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "509 JEFFERSON ST",
"city": "BURLINGTON",
"state": "IA",
"postal_code": "526015427"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "509 JEFFERSON ST",
"city": "BURLINGTON",
"state": "IA",
"postal_code": "526015427",
"telephone_number": "319-752-5433"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "SOUTHEAST IOWA AREA AGENCY ON AGING, INC.",
"organizational_subpart": "NO",
"enumeration_date": "2006-11-01",
"last_updated": "2020-08-22",
"status": "A",
"authorized_official_last_name": "ZEGARAC",
"authorized_official_first_name": "DENNIS",
"authorized_official_title_or_position": "EXECUTITVE DIRECTOR",
"authorized_official_telephone_number": "319-752-5433"
},
"taxonomies": [
{
"code": "251B00000X",
"taxonomy_group": "",
"desc": "Case Management",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "0106898",
"state": "IA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Burlington, IA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 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.