AGE WELL SENIOR SERVICES, INC (NPI# 1891077624) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1891077624 |
| Entity Type | Organization |
| Organization Name | AGE WELL SENIOR SERVICES, INC |
| Practice Address |
24300 El Toro Rd Bldg. A, Suite 2000 Laguna Woods CA 92637-2737 |
| Practice Telephone | 9498558033 |
| Practice Fax Number | 9498558025 |
| Mailing Telephone | 9498558033 |
| Mailing Fax Number | 9498558025 |
| Enumeration Date | 2011-09-19 |
| Last Update Date | 2011-09-19 |
| Authorized Official Name | DR. MARILYN L. DITTY (CHIEF EXECUTIVE OFFICER) |
| Authorized Official Telephone | 9498558033 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 343900000X | Non-emergency Medical Transport (VAN) | CA161788 | CA | Transportation Services |
| Y | 251V00000X | Voluntary or Charitable | Agencies |
| Street Address |
24300 EL TORO RD BLDG. A, SUITE 2000 |
| City | LAGUNA WOODS |
| State | CA |
| Zip Code | 92637-2737 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1295944155 | South County Senior Services | Clinic/Center | 24300 El Toro Rd, Bldg. A, Laguna Woods, CA 92637-2737 | 2007-05-21 |
| 1164963666 | The Alder Corporation | Clinic/Center | 24300 El Toro Rd, Building A, Laguna Woods, CA 92637-2737 | 2017-03-16 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1902452725 | Kathleen Reeder | Technician | 600 Avenida Sevilla Unit B, Laguna Woods, CA 92637 | 2019-08-16 |
| 1720589997 | Your Home Care | Clinic/Center | 24191 Paseo Da Valencia, Suite B, Laguna Woods, CA 92637 | 2018-02-23 |
| 1518407352 | Trans Elegant Services LLC | Non-emergency Medical Transport (VAN) | 2069 Via Mariposa E, Unit B, Laguna Woods, CA 92637 | 2017-02-27 |
| 1811277122 | Sarah Suna Rhee | Audiologist-Hearing Aid Fitter | 24310 Moulton Pkwy Ste D, Laguna Woods, CA 92637 | 2011-08-18 |
| 1740421908 | Rose Seligson | Social Worker | 256 Calle Aragon, Unit 'o', Laguna Woods, CA 92637 | 2009-03-18 |
| 1417130980 | Rosemarie Hill | Nurse Practitioner | 810 Ronda Mendoza, Unit D, Laguna Woods, CA 92637 | 2007-12-07 |
| 1881719193 | Michael Goldman O.d.incorporated | Optometrist | 24100 El Toro Rd, Suite C, Laguna Woods, CA 92637 | 2007-03-20 |
| 1013989870 | Susan K Grenz | Internal Medicine | 779 C Via Los Altos, Laguna Woods, CA 92637 | 2006-02-06 |
| 1255325411 | Don Karabelnik | Family Medicine | 5370 Punta Alta, Unit 2e, Laguna Woods, CA 92637 | 2005-09-02 |
| 1508395948 | Nguyen Phu Truong | Pharmacist | 24167 Paseo De Valencia, Laguna Hills, CA 92637 | 2017-06-08 |
| Find all providers in zip 92637 | ||||
| Taxonomy Code | 251V00000X |
| Grouping | Agencies |
| Classification | Voluntary or Charitable |
| Definition to come... |
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| Find all providers with the same taxonomy | ||||
| City | LAGUNA WOODS |
| Zip Code | 92637 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.