Age Well Senior Services, Inc

Primary specialty

Voluntary or Charitable AgencyTaxonomy code 251V00000X

Legal business name

AGE WELL SENIOR SERVICES, INC

Practice address

24300 El Toro Rd
BLDG. a, Suite 2000
Laguna Woods, CA 92637-2737

Phone

(949) 855-8033

Fax

(949) 855-8025

NPI assigned

Sep 19, 2011

Last updated

Sep 19, 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

Dr. Marilyn L. Ditty

Title

Chief Executive Officer

Phone

(949) 855-8033

Specialties & licenses 2

Addresses

Tax ID family

Age Well Senior Services Inc2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• South County Senior Services

  dba South County Adult Day Services

  • Adult Day Care Clinic/Center
  • Laguna Woods, CA
  • NPI 1295944155
  NPD tax ID

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

{
    "created_epoch": "1316390400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1316390400000",
    "number": "1891077624",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "24300 EL TORO RD",
            "address_2": "BLDG. A, SUITE 2000",
            "city": "LAGUNA WOODS",
            "state": "CA",
            "postal_code": "926372737",
            "telephone_number": "949-855-8033",
            "fax_number": "949-855-8025"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "24300 EL TORO RD",
            "address_2": "BLDG. A, SUITE 2000",
            "city": "LAGUNA WOODS",
            "state": "CA",
            "postal_code": "926372737",
            "telephone_number": "949-855-8033",
            "fax_number": "949-855-8025"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AGE WELL SENIOR SERVICES, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-09-19",
        "last_updated": "2011-09-19",
        "status": "A",
        "authorized_official_last_name": "DITTY",
        "authorized_official_first_name": "MARILYN",
        "authorized_official_middle_name": "L.",
        "authorized_official_title_or_position": "CHIEF EXECUTIVE OFFICER",
        "authorized_official_telephone_number": "949-855-8033",
        "authorized_official_name_prefix": "Dr."
    },
    "taxonomies": [
        {
            "code": "251V00000X",
            "taxonomy_group": "",
            "desc": "Voluntary or Charitable",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "343900000X",
            "taxonomy_group": "",
            "desc": "Non-emergency Medical Transport (VAN)",
            "state": "CA",
            "license": "CA161788",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Voluntary or Charitable Agency in Laguna Woods, CA
• Providers in Laguna Woods, CA by specialty
• Voluntary or Charitable Agency in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 19, 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.