Provider Demographics
NPI:1366685562
Name:REGION 3B AREA AGENCY ON AGING
Entity Type:Organization
Organization Name:REGION 3B AREA AGENCY ON AGING
Other - Org Name:CAREWELL SERVICES
Other - Org Type:Doing Business As
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:MRS
Authorized Official - First Name:KARLA
Authorized Official - Middle Name:ANN
Authorized Official - Last Name:FALES
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:800-626-6719
Mailing Address - Street 1:200 MICHIGAN AVE W
Mailing Address - Street 2:SUITE 102
Mailing Address - City:BATTLE CREEK
Mailing Address - State:MI
Mailing Address - Zip Code:49017-3602
Mailing Address - Country:US
Mailing Address - Phone:269-966-2475
Mailing Address - Fax:269-966-2493
Practice Address - Street 1:200 MICHIGAN AVE W
Practice Address - Street 2:SUITE 102
Practice Address - City:BATTLE CREEK
Practice Address - State:MI
Practice Address - Zip Code:49017-3602
Practice Address - Country:US
Practice Address - Phone:269-966-2475
Practice Address - Fax:269-966-2493
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2009-04-17
Last Update Date:2017-06-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251B00000XAgenciesCase Management
Provider Identifiers
StateIdentifier IDID TypeIssuer
MI0004508953Medicaid