NPIMap

Organization Active NPI

Southeast Missouri Area Agency on Aging, Inc.

  • Case Management Agency
  • Cape Girardeau, MO
National Provider Identifier
1891239356
Registry record updated Dec 16, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Case Management AgencyTaxonomy code 251B00000X
Legal business name
SOUTHEAST MISSOURI AREA AGENCY ON AGING, INC.
Doing business as
Aging Matters
Practice address
1078 Wolverine LN Ste J
Cape Girardeau, MO 63701-9021
Phone
(573) 335-3331
Fax
(573) 335-3017
NPI assigned
Dec 16, 2016
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 16, 2016

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

Authorized official

Name
Mrs. Lana Donette Johnson
Title
Executive Director
Phone
(573) 335-3331

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Case Management Agency 251B00000X Primary

Addresses

Primary practice location

1078 Wolverine LN Ste J
Cape Girardeau, MO 63701-9021

Mailing address

1078 Wolverine LN Ste J
Cape Girardeau, MO 63701-9021
Phone (573) 335-3331

Other names 1

  • Aging Matters Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Aging Matters3 organizations share this tax ID, including this one

Other organizations with this tax ID 2

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

NPI Registry JSON

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

{
    "created_epoch": "1481846400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1481846400000",
    "number": "1891239356",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1078 WOLVERINE LN STE J",
            "city": "CAPE GIRARDEAU",
            "state": "MO",
            "postal_code": "637019021",
            "telephone_number": "573-335-3331",
            "fax_number": "573-335-3017"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1078 WOLVERINE LN STE J",
            "city": "CAPE GIRARDEAU",
            "state": "MO",
            "postal_code": "637019021",
            "telephone_number": "573-335-3331",
            "fax_number": "573-335-3017"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SOUTHEAST MISSOURI AREA AGENCY ON AGING, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-12-16",
        "last_updated": "2016-12-16",
        "status": "A",
        "authorized_official_last_name": "JOHNSON",
        "authorized_official_first_name": "LANA",
        "authorized_official_middle_name": "DONETTE",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "573-335-3331",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "251B00000X",
            "taxonomy_group": "",
            "desc": "Case Management",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Aging Matters",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Cape Girardeau, MO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 16, 2016; 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.