Active NPI
Jefferson Area Board for Aging
- Adult Day Care Clinic/Center
- Charlottesville, VA
National Provider Identifier
1902180557
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Adult Day Care Clinic/Center
- Legal business name
- JEFFERSON AREA BOARD FOR AGING
- Practice address
- 674 Hillsdale Dr Ste 9
Charlottesville, VA 22901-1799 - Phone
- (434) 817-5222
- NPI assigned
- Sep 30, 2011
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Ms. Donna McGrath
- Title
- Finance Manager
- Phone
- (434) 817-5237
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Case Management Agency | 251B00000X | |||
| Adult Day Care Clinic/Center | 261QA0600X | Primary |
Addresses
Primary practice location
674 Hillsdale Dr Ste 9
Charlottesville, VA 22901-1799
Mailing address
674 Hillsdale Dr Ste 9
Charlottesville, VA 22901-1799
Phone (434) 817-5222
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0154651076 | Medicaid | VA |
Other names 1
- JABA
Laboratory certificates & supplier records
Derived by NPIMapThese CMS records do not include an NPI. They are shown because their name and street address match this provider’s.
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 49D1021684 | Jefferson Area Board for Aging | Certificate of waiver | Nov 2, 2026 |
National Provider Directory
National Provider DirectoryLocations
674 Hillsdale Dr
Charlottesville, VA 22901
Phone (434) 817-5222
674 Hillsdale Dr
Ste 9
Charlottesvle, VA 22901
Phone (434) 817-5222
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1317340800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1721260800000",
"number": "1902180557",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "674 HILLSDALE DR STE 9",
"city": "CHARLOTTESVILLE",
"state": "VA",
"postal_code": "229011799",
"telephone_number": "434-817-5222"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "674 HILLSDALE DR STE 9",
"city": "CHARLOTTESVILLE",
"state": "VA",
"postal_code": "229011799",
"telephone_number": "434-817-5222"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "JEFFERSON AREA BOARD FOR AGING",
"organizational_subpart": "NO",
"enumeration_date": "2011-09-30",
"last_updated": "2024-07-18",
"certification_date": "2024-07-18",
"status": "A",
"authorized_official_last_name": "MCGRATH",
"authorized_official_first_name": "DONNA",
"authorized_official_title_or_position": "FINANCE MANAGER",
"authorized_official_telephone_number": "434-817-5237",
"authorized_official_name_prefix": "Ms."
},
"taxonomies": [
{
"code": "251B00000X",
"taxonomy_group": "",
"desc": "Case Management",
"state": null,
"license": null,
"primary": false
},
{
"code": "261QA0600X",
"taxonomy_group": "",
"desc": "Clinic/Center, Adult Day Care",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "0154651076",
"state": "VA"
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "JABA",
"code": "5",
"type": "Other Name"
}
]
}
Other providers in Charlottesville, VA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 18, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.