Active NPI
Area Agency on Aging of Palm Beach/Treasure Coast, Inc.
Doing business as Your Aging & Disability Resource Center, Inc.
- Case Management Agency
- West Palm Beach, FL
National Provider Identifier
1922451178
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Case Management Agency
- Legal business name
- AREA AGENCY ON AGING OF PALM BEACH/TREASURE COAST, INC.
- Doing business as
- Your Aging & Disability Resource Center, Inc.
- Practice address
- 4400 N Congress Ave
West Palm Beach, FL 33407-3226 - Phone
- (561) 684-5885
- Fax
- (561) 214-8678
- NPI assigned
- Jul 22, 2016
- 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
- Jaime Estremera-Fitzgerald
- Title
- Chief Executive Officer
- Phone
- (561) 684-5885
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Case Management Agency | 251B00000X | Primary |
Addresses
Primary practice location
4400 N Congress Ave
West Palm Beach, FL 33407-3226
Mailing address
4400 N Congress Ave
West Palm Beach, FL 33407-3226
Phone (561) 684-5885
Other names 1
- Your Aging & Disability Resource Center, Inc.
National Provider Directory
National Provider DirectoryLocations
4400 N Congress Ave
West Palm Beach, FL 33407
Phone (561) 684-5885
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1469145600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1469145600000",
"number": "1922451178",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4400 N CONGRESS AVE",
"city": "WEST PALM BEACH",
"state": "FL",
"postal_code": "334073226",
"telephone_number": "561-684-5885",
"fax_number": "561-214-8678"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4400 N CONGRESS AVE",
"city": "WEST PALM BEACH",
"state": "FL",
"postal_code": "334073226",
"telephone_number": "561-684-5885",
"fax_number": "561-214-8678"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "AREA AGENCY ON AGING OF PALM BEACH/TREASURE COAST, INC.",
"organizational_subpart": "NO",
"enumeration_date": "2016-07-22",
"last_updated": "2016-07-22",
"status": "A",
"authorized_official_last_name": "ESTREMERA-FITZGERALD",
"authorized_official_first_name": "JAIME",
"authorized_official_title_or_position": "CHIEF EXECUTIVE OFFICER",
"authorized_official_telephone_number": "561-684-5885"
},
"taxonomies": [
{
"code": "251B00000X",
"taxonomy_group": "",
"desc": "Case Management",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "Your Aging & Disability Resource Center, Inc.",
"code": "3",
"type": "Doing Business As"
}
]
}
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Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 22, 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.