Provider Demographics
NPI:1356471635
Name:AGING SERVICES
Entity Type:Organization
Organization Name:AGING SERVICES
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MANAGER BILLING
Authorized Official - Prefix:
Authorized Official - First Name:ERICA
Authorized Official - Middle Name:
Authorized Official - Last Name:BATCHELER
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:319-743-9529
Mailing Address - Street 1:740 N 15TH AVE STE A
Mailing Address - Street 2:
Mailing Address - City:HIAWATHA
Mailing Address - State:IA
Mailing Address - Zip Code:52233-2384
Mailing Address - Country:US
Mailing Address - Phone:319-398-3634
Mailing Address - Fax:319-398-4096
Practice Address - Street 1:1725 O AVE NW
Practice Address - Street 2:
Practice Address - City:CEDAR RAPIDS
Practice Address - State:IA
Practice Address - Zip Code:52405-1520
Practice Address - Country:US
Practice Address - Phone:319-398-3647
Practice Address - Fax:319-398-3954
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-03-06
Last Update Date:2023-08-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QA0600XAmbulatory Health Care FacilitiesClinic/CenterAdult Day Care
Provider Identifiers
StateIdentifier IDID TypeIssuer
IA0071035Medicaid