Provider Demographics
NPI:1699362905
Name:HOLMES COUNTY COUNCIL ON AGING INC.
Entity Type:Organization
Organization Name:HOLMES COUNTY COUNCIL ON AGING INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:BUSINESS MANAGER
Authorized Official - Prefix:
Authorized Official - First Name:PENNY
Authorized Official - Middle Name:
Authorized Official - Last Name:HAMILTON
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:330-674-0580
Mailing Address - Street 1:170 PARKVIEW DR
Mailing Address - Street 2:
Mailing Address - City:MILLERSBURG
Mailing Address - State:OH
Mailing Address - Zip Code:44654-8949
Mailing Address - Country:US
Mailing Address - Phone:133-067-4058
Mailing Address - Fax:330-674-0291
Practice Address - Street 1:170 PARKVIEW DR
Practice Address - Street 2:
Practice Address - City:MILLERSBURG
Practice Address - State:OH
Practice Address - Zip Code:44654-8949
Practice Address - Country:US
Practice Address - Phone:133-067-4058
Practice Address - Fax:330-674-0291
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-12-22
Last Update Date:2020-12-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes174200000XOther Service ProvidersMeals
Provider Identifiers
StateIdentifier IDID TypeIssuer
OH2099803Medicaid