Provider Demographics
NPI:1972662112
Name:OLDER AMERICANS SERVICES CORP
Entity Type:Organization
Organization Name:OLDER AMERICANS SERVICES CORP
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:EXECUTIVE DIRECTOR
Authorized Official - Prefix:MR
Authorized Official - First Name:GREG
Authorized Official - Middle Name:W
Authorized Official - Last Name:MAHURON
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:812-865-3352
Mailing Address - Street 1:PO BOX 206
Mailing Address - Street 2:
Mailing Address - City:ORLEANS
Mailing Address - State:IN
Mailing Address - Zip Code:47452
Mailing Address - Country:US
Mailing Address - Phone:812-865-3352
Mailing Address - Fax:812-865-3384
Practice Address - Street 1:1901 S ORLEANS WAY
Practice Address - Street 2:
Practice Address - City:ORLEANS
Practice Address - State:IN
Practice Address - Zip Code:47452
Practice Address - Country:US
Practice Address - Phone:812-865-3352
Practice Address - Fax:812-865-3384
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-12-06
Last Update Date:2018-03-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes376J00000XNursing Service Related ProvidersHomemakerGroup - Multi-Specialty
No332U00000XSuppliersHome Delivered Meals
No343900000XTransportation ServicesNon-emergency Medical Transport (VAN)
No3747A0650XNursing Service Related ProvidersTechnicianAttendant Care ProviderGroup - Multi-Specialty