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Contact Information

AGING AHEAD
14535 MANCHESTER ROAD
MANCHESTER, MO63011
 Phone: 636-207-0847
 Fax: 636-207-1329
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Meals

174200000X
 

Case Management

251B00000X
 

Case Manager/Care Coordinator

171M00000X
Indicates primary specialty

NPI Profile & details for AGING AHEAD

NPI Number 1538285408
LBN Legal business name AGING AHEAD
Authorized official LISA KNOLL - (CHIEF EXECUTIVE OFFICER)
Entity Organization
Organization subpart 1 No
Enumeration date 03/22/2007
Last updated 11/08/2023 - About 3 years ago
Identifiers
MO Medicaid 284645611
1 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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