Provider Demographics
NPI:1437666062
Name:AREA AGENCY ON AGING OF SOMERSET COUNTY
Entity Type:Organization
Organization Name:AREA AGENCY ON AGING OF SOMERSET COUNTY
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:ADMINISTRATOR
Authorized Official - Prefix:MRS
Authorized Official - First Name:ELAINE
Authorized Official - Middle Name:
Authorized Official - Last Name:LAHM
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:814-443-2681
Mailing Address - Street 1:1338 SOUTH EDGEWOOD AVENUE
Mailing Address - Street 2:
Mailing Address - City:SOMERSET
Mailing Address - State:PA
Mailing Address - Zip Code:15501
Mailing Address - Country:US
Mailing Address - Phone:814-443-2681
Mailing Address - Fax:814-445-4398
Practice Address - Street 1:1338 SOUTH EDGEWOOD AVENUE
Practice Address - Street 2:
Practice Address - City:SOMERSET
Practice Address - State:PA
Practice Address - Zip Code:15501
Practice Address - Country:US
Practice Address - Phone:814-443-2681
Practice Address - Fax:814-445-4398
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2018-01-04
Last Update Date:2018-01-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251B00000XAgenciesCase Management
No174200000XOther Service ProvidersMeals
No332U00000XSuppliersHome Delivered Meals
Provider Identifiers
StateIdentifier IDID TypeIssuer
PA1000048800003Medicaid