Provider Demographics
NPI:1487034070
Name:AGING CONCEPTS LLC
Entity Type:Organization
Organization Name:AGING CONCEPTS LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:MELISSA
Authorized Official - Middle Name:D
Authorized Official - Last Name:ISOM
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:706-371-5019
Mailing Address - Street 1:3300 N MAIN ST
Mailing Address - Street 2:STE D # 329
Mailing Address - City:ANDERSON
Mailing Address - State:SC
Mailing Address - Zip Code:29621-4128
Mailing Address - Country:US
Mailing Address - Phone:706-371-5019
Mailing Address - Fax:864-965-9014
Practice Address - Street 1:714 TIMBERLAKE RD
Practice Address - Street 2:
Practice Address - City:ANDERSON
Practice Address - State:SC
Practice Address - Zip Code:29625-1135
Practice Address - Country:US
Practice Address - Phone:706-371-5019
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2015-06-09
Last Update Date:2015-06-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251B00000XAgenciesCase Management