Active NPI
Midland Area Agency on Aging
- In Home Supportive Care Agency
- Saint Paul, NE
National Provider Identifier
1972015535
On this page
Key facts
NPPES NPI Registry- Primary specialty
- In Home Supportive Care Agency
- 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 AGING
NPPES NPI Registry
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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1427245968 | Other | NE | IN HOME SUPPORT CARE |
| 1427245968 | Other | NE | IN 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.