Organization Active NPI

Jefferson Area Board for Aging

  • Adult Day Care Clinic/Center
  • Charlottesville, VA
National Provider Identifier
1902180557
Registry record updated Jul 18, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Day Care Clinic/CenterTaxonomy code 261QA0600X
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

Updated by the provider on Jul 18, 2024

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)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
0154651076MedicaidVA

Other names 1

  • JABA Other name

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
49D1021684Jefferson Area Board for Aging674 Hillsdale Drive - Suite 9C, Charlottesville, VA 22901Certificate of waiverNov 2, 2026

National Provider Directory

National Provider Directory

Locations

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.

Verify at the official NPI Registry.