COUNCIL ON AGING NPI 1396964946

NPI Information

  • NPI: 1396964946
  • Provider Name: COUNCIL ON AGING
  • Classification: Clinic/Center - 261QA0600X
  • Specialization: Adult Day Care
  • Entity Type: Organization
  • Other Name: COUNCIL ON AGING SERVICES FOR SENIORS
  • Address: 30 KAWANA SPRINGS RD
    SANTA ROSA, CA
    ZIP 95404
  • Phone: (707) 525-0143

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NPI Details

COUNCIL ON AGING is an adult day care clinic center in Santa Rosa, CA. COUNCIL ON AGING NPI is 1396964946. The provider is registered as an organization entity type and is a multi-specialty group.
The provider Other Name Is Council On Aging Services For Seniors.

The provider's business location address is:

30 KAWANA SPRINGS RD
SANTA ROSA, CA
ZIP 95404-309
Phone: (707) 525-0143
Fax: (707) 525-0143

The provider's authorized official is Marrianne Mcbride .
The authorized official title is President And Ceo and has the following contact phone number (707) 525-0143.

The enumeration date for this NPI number is 4/24/2007 and was last updated on 9/13/2023.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1101YM0800XCounselorMental HealthNo
2174200000XMealsNo
3251B00000XCase ManagementNo
4252Y00000XEarly Intervention Provider AgencyNo
5385H00000XRespite CareNo
6261QA0600XClinic/CenterAdult Day CareYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 3/30/2025

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