Provider Demographics
NPI:1760539019
Name:OSCEOLA COUNTY COUNCIL ON AGING, INC.
Entity Type:Organization
Organization Name:OSCEOLA COUNTY COUNCIL ON AGING, INC.
Other - Org Name:OSCEOLA COUNCIL ON AGING
Other - Org Type:Other Name
Authorized Official - Title/Position:VP OF FINANCE
Authorized Official - Prefix:MRS
Authorized Official - First Name:ELIZABETH
Authorized Official - Middle Name:
Authorized Official - Last Name:GUEITS
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:407-846-8532
Mailing Address - Street 1:700 GENERATION POINT
Mailing Address - Street 2:
Mailing Address - City:KISSIMMEE
Mailing Address - State:FL
Mailing Address - Zip Code:34744-5957
Mailing Address - Country:US
Mailing Address - Phone:407-846-8532
Mailing Address - Fax:407-846-8726
Practice Address - Street 1:700 GENERATION POINT
Practice Address - Street 2:
Practice Address - City:KISSIMMEE
Practice Address - State:FL
Practice Address - Zip Code:34744-5957
Practice Address - Country:US
Practice Address - Phone:407-846-8532
Practice Address - Fax:407-846-8726
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-01-05
Last Update Date:2022-03-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251B00000XAgenciesCase Management
No251V00000XAgenciesVoluntary or Charitable
No253Z00000XAgenciesIn Home Supportive Care
No261QA0600XAmbulatory Health Care FacilitiesClinic/CenterAdult Day Care
No332U00000XSuppliersHome Delivered Meals
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL670665700Medicaid