Organization Active NPI

Nacogdoches County Aging Committee, Inc.

  • Home Delivered Meals
  • Nacogdoches, TX
National Provider Identifier
1902091077
Registry record updated Aug 14, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Delivered MealsTaxonomy code 332U00000X
Legal business name
NACOGDOCHES COUNTY AGING COMMITTEE, INC.
Practice address
621 Harris St
Nacogdoches, TX 75964-5205
Phone
(936) 569-6350
Fax
(936) 560-1797
NPI assigned
Sep 11, 2007
Reactivated
Aug 14, 2018
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 14, 2018

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

Authorized official

Name
Tammy Lynn BlankNPI 1346649720
Title
Director
Phone
(936) 569-6350

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Home Delivered Meals 332U00000X Primary

Addresses

Primary practice location

621 Harris St
Nacogdoches, TX 75964-5205

Mailing address

621 Harris St
Nacogdoches, TX 75964-5205
Phone (936) 569-6350

National Provider Directory

National Provider Directory

Locations

621 Harris St
Nacogdoches, TX 75964
Phone (936) 569-6350

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1189468800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1534204800000",
    "number": "1902091077",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "621 HARRIS ST",
            "city": "NACOGDOCHES",
            "state": "TX",
            "postal_code": "759645205",
            "telephone_number": "936-569-6350",
            "fax_number": "936-560-1797"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "621 HARRIS ST",
            "city": "NACOGDOCHES",
            "state": "TX",
            "postal_code": "759645205",
            "telephone_number": "936-569-6350",
            "fax_number": "936-560-1797"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NACOGDOCHES COUNTY AGING COMMITTEE, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-09-11",
        "last_updated": "2018-08-14",
        "deactivation_date": "2007-09-25",
        "reactivation_date": "2018-08-14",
        "status": "A",
        "authorized_official_last_name": "BLANK",
        "authorized_official_first_name": "TAMMY",
        "authorized_official_middle_name": "LYNN",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "936-569-6350"
    },
    "taxonomies": [
        {
            "code": "332U00000X",
            "taxonomy_group": "",
            "desc": "Home Delivered Meals",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Nacogdoches, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 14, 2018; 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.