Organization 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
Registry record updated Jul 22, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Case Management AgencyTaxonomy code 251B00000X
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

Updated by the provider on Jul 22, 2016

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)CodeLicenseStatePrimary
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. Doing business as

National Provider Directory

National Provider Directory

Locations

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"
        }
    ]
}

Other providers in West Palm Beach, FL

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.

Verify at the official NPI Registry.