Provider Demographics
NPI:1497319156
Name:AGING SERVICES
Entity Type:Organization
Organization Name:AGING SERVICES
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:ADMINISTRATOR
Authorized Official - Prefix:
Authorized Official - First Name:FRITZIE
Authorized Official - Middle Name:
Authorized Official - Last Name:CENATUS
Authorized Official - Suffix:
Authorized Official - Credentials:RN, MED
Authorized Official - Phone:321-437-7033
Mailing Address - Street 1:241 RUBY AVE STE 202
Mailing Address - Street 2:
Mailing Address - City:KISSIMMEE
Mailing Address - State:FL
Mailing Address - Zip Code:34741-5627
Mailing Address - Country:US
Mailing Address - Phone:321-414-2587
Mailing Address - Fax:
Practice Address - Street 1:241 RUBY AVE STE 202
Practice Address - Street 2:
Practice Address - City:KISSIMMEE
Practice Address - State:FL
Practice Address - Zip Code:34741-5627
Practice Address - Country:US
Practice Address - Phone:321-414-2587
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:FORMAL FINESSE INC
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2019-04-29
Last Update Date:2022-05-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes163WH0200XNursing Service ProvidersRegistered NurseHome HealthGroup - Multi-Specialty
No251E00000XAgenciesHome Health
No251J00000XAgenciesNursing Care
No253Z00000XAgenciesIn Home Supportive Care
No332U00000XSuppliersHome Delivered Meals
No347C00000XTransportation ServicesPrivate VehicleGroup - Multi-Specialty