Jasper County Committee on Aging Inc

Primary specialty

Home Delivered MealsTaxonomy code 332U00000X

Legal business name

JASPER COUNTY COMMITTEE ON AGING INC

Practice address

409 N Fletcher St
Jasper, TX 75951-3805

Phone

(409) 384-3701

Fax

(409) 383-0302

NPI assigned

Apr 11, 2007

Reactivated

Oct 6, 2011

Last updated

Oct 6, 2011By 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

Mr. Mitch McMillon

Title

Director

Phone

(409) 384-3701

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Jasper Senior Center Other name

Locations

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

{
    "created_epoch": "1176249600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1317859200000",
    "number": "1790908465",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "409 N FLETCHER ST",
            "city": "JASPER",
            "state": "TX",
            "postal_code": "759513805",
            "telephone_number": "409-384-3701",
            "fax_number": "409-383-0302"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "409 N FLETCHER ST",
            "city": "JASPER",
            "state": "TX",
            "postal_code": "759513805",
            "telephone_number": "409-384-3701",
            "fax_number": "409-383-0302"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JASPER COUNTY COMMITTEE ON AGING INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-04-11",
        "last_updated": "2011-10-06",
        "deactivation_date": "2008-01-30",
        "reactivation_date": "2011-10-06",
        "status": "A",
        "authorized_official_last_name": "MCMILLON",
        "authorized_official_first_name": "MITCH",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "409-384-3701",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "332U00000X",
            "taxonomy_group": "",
            "desc": "Home Delivered Meals",
            "state": "TX",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PROVIDER NUMBER ID",
            "identifier": "001000821",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Jasper Senior Center",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Danielle Horton, L.AC.
• Christopher H Hoyt, MD
• Hughes Medical Group
• David Scott Hughes, LCDC
• Jenna-Maree Inman, FNP-BC
• Jasper County Urgent Care PLLC
• Jasper Diagnostic Clinic
• Jasper Emergency Medicine Associates PA
• Jasper Emergency Physicians, PLLC
• Jasper Family Dental

• Home Delivered Meals in Jasper, TX
• Providers in Jasper, TX by specialty
• Home Delivered Meals in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 6, 2011; 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.