Provider Demographics
NPI:1164931093
Name:AGING SERVICES, INC.
Entity Type:Organization
Organization Name:AGING SERVICES, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:EXECUTIVE DIRECTOR
Authorized Official - Prefix:
Authorized Official - First Name:JAMES
Authorized Official - Middle Name:
Authorized Official - Last Name:MCQUOWN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:724-349-4500
Mailing Address - Street 1:PO BOX 519
Mailing Address - Street 2:
Mailing Address - City:INDIANA
Mailing Address - State:PA
Mailing Address - Zip Code:15701-0519
Mailing Address - Country:US
Mailing Address - Phone:724-349-4500
Mailing Address - Fax:724-349-9535
Practice Address - Street 1:1055 OAK ST
Practice Address - Street 2:
Practice Address - City:INDIANA
Practice Address - State:PA
Practice Address - Zip Code:15701-1651
Practice Address - Country:US
Practice Address - Phone:724-349-4500
Practice Address - Fax:724-349-9535
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2017-09-22
Last Update Date:2019-06-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251B00000XAgenciesCase Management
Provider Identifiers
StateIdentifier IDID TypeIssuer
PA01732419-0003Medicaid