Aging Interventions LLC

Primary specialty

Community/Behavioral Health AgencyTaxonomy code 251S00000X

License

SW11868 Issued in FL

Legal business name

AGING INTERVENTIONS LLC

Practice address

3433 Desoto Dr
Punta Gorda, FL 33983-3525

Phone

(941) 249-1629

NPI assigned

Jan 24, 2015

Organization subpart

No

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

Authorized official

Name

Karen Jellerson, LCSW

Title

Owner/Social Worker

Phone

(941) 249-1629

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1422057600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1422057600000",
    "number": "1851781272",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3433 DESOTO DR",
            "city": "PUNTA GORDA",
            "state": "FL",
            "postal_code": "339833525",
            "telephone_number": "941-249-1629"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3433 DESOTO DR",
            "city": "PUNTA GORDA",
            "state": "FL",
            "postal_code": "339833525",
            "telephone_number": "941-249-1629"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AGING INTERVENTIONS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-01-24",
        "last_updated": "2015-01-24",
        "status": "A",
        "authorized_official_last_name": "JELLERSON",
        "authorized_official_first_name": "KAREN",
        "authorized_official_title_or_position": "OWNER/SOCIAL WORKER",
        "authorized_official_telephone_number": "941-249-1629",
        "authorized_official_credential": "LCSW"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "FL",
            "license": "SW11868",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Community/Behavioral Health Agency in Punta Gorda, FL
• Providers in Punta Gorda, FL by specialty
• Community/Behavioral Health Agency in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 24, 2015; 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.