Provider Demographics
NPI:1790476067
Name:AGING AT HOME INC.
Entity Type:Organization
Organization Name:AGING AT HOME INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:ADMINISTRATOR
Authorized Official - Prefix:MS
Authorized Official - First Name:RHONDA
Authorized Official - Middle Name:ANNE
Authorized Official - Last Name:JOHNSTON
Authorized Official - Suffix:
Authorized Official - Credentials:MA
Authorized Official - Phone:314-761-3800
Mailing Address - Street 1:915 OLIVE ST APT 405
Mailing Address - Street 2:
Mailing Address - City:SAINT LOUIS
Mailing Address - State:MO
Mailing Address - Zip Code:63101-1451
Mailing Address - Country:US
Mailing Address - Phone:314-337-8600
Mailing Address - Fax:314-390-9658
Practice Address - Street 1:915 OLIVE ST APT 405
Practice Address - Street 2:
Practice Address - City:SAINT LOUIS
Practice Address - State:MO
Practice Address - Zip Code:63101-1451
Practice Address - Country:US
Practice Address - Phone:314-337-8600
Practice Address - Fax:314-390-9658
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-05-17
Last Update Date:2023-05-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251B00000XAgenciesCase Management
No251E00000XAgenciesHome Health
No252Y00000XAgenciesEarly Intervention Provider Agency
No253Z00000XAgenciesIn Home Supportive Care