Organization Active NPI

Lagrange County Council on Aging

  • Non-emergency Medical Transport (VAN)
  • Lagrange, IN
National Provider Identifier
1801020375
Registry record updated May 12, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Non-emergency Medical Transport (VAN)Taxonomy code 343900000X
Legal business name
LAGRANGE COUNTY COUNCIL ON AGING
Practice address
125 W Fenn St
Lagrange, IN 46761-2285
Phone
(260) 463-4161
Fax
(260) 572-2238
NPI assigned
May 12, 2009
Last updated
May 12, 2009By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 12, 2009

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

Authorized official

Name
Mr. William Cunningham
Title
Executive Director
Phone
(260) 463-4161

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Non-emergency Medical Transport (VAN) 343900000X Primary

Addresses

Primary practice location

125 W Fenn St
Lagrange, IN 46761-2285

Mailing address

PO Box 107
125 W Fenn Street
Lagrange, IN 46761-0107
Phone (260) 463-4161

National Provider Directory

National Provider Directory

Locations

125 W Fenn St
Lagrange, IN 46761
Phone (260) 463-4161

NPI Registry JSON

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

{
    "created_epoch": "1242086400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1242086400000",
    "number": "1801020375",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 107",
            "address_2": "125 W FENN STREET",
            "city": "LAGRANGE",
            "state": "IN",
            "postal_code": "467610107",
            "telephone_number": "260-463-4161",
            "fax_number": "260-572-2238"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "125 W FENN ST",
            "city": "LAGRANGE",
            "state": "IN",
            "postal_code": "467612285",
            "telephone_number": "260-463-4161",
            "fax_number": "260-572-2238"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LAGRANGE COUNTY COUNCIL ON AGING",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-05-12",
        "last_updated": "2009-05-12",
        "status": "A",
        "authorized_official_last_name": "CUNNINGHAM",
        "authorized_official_first_name": "WILLIAM",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "260-463-4161",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "343900000X",
            "taxonomy_group": "",
            "desc": "Non-emergency Medical Transport (VAN)",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lagrange, IN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 12, 2009; 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.