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MARSHALL COUNTY COUNCIL ON AGING NPI 1629103684


NPI Information

NPI: 1629103684
Provider Name: MARSHALL COUNTY COUNCIL ON AGING
Classification: Home Delivered Meals - 332U00000X
Entity Type: Organization

CLIA Number: 15D1059120

Address:
1305 W HARRISON STREET
PLYMOUTH, IN
ZIP 46563
Phone: (574) 936-9904
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MARSHALL COUNTY COUNCIL ON AGING is a home delivered meals in Plymouth, IN. The provider is home-delivered meals are those services or activities designed to prepare and deliver one or more meals a day to an individual's residence in order to prevent institutionalization, malnutrition, and feelings of isolation. Component services or activities may include the cost of personnel, equipment, and food; assessment of nutritional and dietary needs; nutritional education and counseling; socialization services; and information and referral. MARSHALL COUNTY COUNCIL ON AGING NPI is 1629103684. The provider is registered as an organization entity type.

The provider's business location address is:

1305 W HARRISON STREET
PLYMOUTH, IN
ZIP 46563
Phone: (574) 936-9904
Fax: (574) 936-9904

The provider's authorized official is Jacqueline Ann Wright .
The authorized official title is Executive Director and has the following contact phone number (574) 936-9904.

The CLIA number assigned to this NPI record is 15D1059120 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 2/22/2007 and was last updated on 8/22/2020.


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
1332U00000XHome Delivered MealsYes
2343900000XNon-emergency Medical Transport (VAN)X
3376J00000XHomemakerX

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: 5/5/2024

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