Organization Active NPI

Southeast Iowa Area Agency on Aging, Inc.

  • Case Management Agency
  • Burlington, IA
National Provider Identifier
1750468427
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Case Management AgencyTaxonomy code 251B00000X
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

Updated by the provider on Aug 22, 2020

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)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
0106898MedicaidIA

National Provider Directory

National Provider Directory

Locations

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.

Verify at the official NPI Registry.