Organization Active NPI

Midland Area Agency on Aging

  • In Home Supportive Care Agency
  • Saint Paul, NE
National Provider Identifier
1972015535
Registry record updated Nov 3, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
In Home Supportive Care AgencyTaxonomy code 253Z00000X
Legal business name
MIDLAND AREA AGENCY ON AGING
Practice address
808 Howard Ave
Saint Paul, NE 68873-2049
Phone
(308) 754-5452
Fax
(308) 754-6227
NPI assigned
Nov 3, 2017
Organization subpart
Yes
Parent organization
MIDLAND AREA AGENCY ON AGINGAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Nov 3, 2017

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

Authorized official

Name
Casey Muzic
Title
Director
Phone
(402) 463-4565

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
In Home Supportive Care Agency 253Z00000X NE Primary

Addresses

Primary practice location

808 Howard Ave
Saint Paul, NE 68873-2049

Mailing address

2727 W 2ND St Ste 440
Hastings, NE 68901-4684
Phone (402) 463-4565

Other identifiers 2

IdentifierTypeStateIssuer
1427245968OtherNEIN HOME SUPPORT CARE
1427245968OtherNEIN HOME SUPPORTIVE CARE

National Provider Directory

National Provider Directory
Part of
Midland Area Agency on Aging

Locations

2727 W 2nd St
Ste 440
Hastings, NE 68901

808 Howard Ave
Saint Paul, NE 68873
Phone (308) 754-5452

NPI Registry JSON

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

{
    "created_epoch": "1509667200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1509667200000",
    "number": "1972015535",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2727 W 2ND ST STE 440",
            "city": "HASTINGS",
            "state": "NE",
            "postal_code": "689014684",
            "telephone_number": "402-463-4565",
            "fax_number": "402-463-1069"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "808 HOWARD AVE",
            "city": "SAINT PAUL",
            "state": "NE",
            "postal_code": "688732049",
            "telephone_number": "308-754-5452",
            "fax_number": "308-754-6227"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MIDLAND AREA AGENCY ON AGING",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "MIDLAND AREA AGENCY ON AGING",
        "enumeration_date": "2017-11-03",
        "last_updated": "2017-11-03",
        "status": "A",
        "authorized_official_last_name": "MUZIC",
        "authorized_official_first_name": "CASEY",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "402-463-4565"
    },
    "taxonomies": [
        {
            "code": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive Care",
            "state": "NE",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "IN HOME SUPPORT CARE",
            "identifier": "1427245968",
            "state": "NE"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "IN HOME SUPPORTIVE CARE",
            "identifier": "1427245968",
            "state": "NE"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Saint Paul, NE

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 3, 2017; 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.