Area Agency on Aging of Western Michigan Inc.

Primary specialty

Case Management AgencyTaxonomy code 251B00000X

Legal business name

AREA AGENCY ON AGING OF WESTERN MICHIGAN INC.

Practice address

1279 Cedar St NE
Grand Rapids, MI 49503-1378

Phone

(616) 456-5664

Fax

(616) 456-5693

NPI assigned

Oct 16, 2006

Organization subpart

No

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

Authorized official

Name

Mr. Thomas Czerwinski

Title

Director

Phone

(616) 456-5664

Specialties & licenses 1

Addresses

Other identifiers 2

Tax ID family

Area Agency on Aging of Western Michigan2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• Area Agency on Aging of Western Michigan

  • Case Management Agency
  • Grand Rapids, MI
  • NPI 1265675391
  NPD tax ID

Locations

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

{
    "created_epoch": "1160956800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1658361600000",
    "number": "1942380134",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1279 CEDAR ST NE",
            "city": "GRAND RAPIDS",
            "state": "MI",
            "postal_code": "495031378",
            "telephone_number": "616-456-5664",
            "fax_number": "616-456-5693"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1279 CEDAR ST NE",
            "city": "GRAND RAPIDS",
            "state": "MI",
            "postal_code": "495031378",
            "telephone_number": "616-456-5664",
            "fax_number": "616-456-5693"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AREA AGENCY ON AGING OF WESTERN MICHIGAN INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-16",
        "last_updated": "2022-07-21",
        "status": "A",
        "authorized_official_last_name": "CZERWINSKI",
        "authorized_official_first_name": "THOMAS",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "616-456-5664",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "251B00000X",
            "taxonomy_group": "",
            "desc": "Case Management",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "4509370",
            "state": "MI"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "4508908",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Thomas John Archambeau, MD
• Jakayla Archie
• Arcticax US LTD
• Area Agency on Aging of Western Michigan
• Area Agency on Aging of Western Michigan Inc.
• Area Wide OB-GYN Health Services, P.C.
• Aprille Joy Arena, LMSW
• Navyasree Arepalli, MD
• Laura Argenzio, PT
• Taylor Ashley Argo

• Case Management Agency in Grand Rapids, MI
• Providers in Grand Rapids, MI by specialty
• Case Management Agency in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; 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.