Provider Demographics
NPI:1750929386
Name:AGING IN PLACE LLC
Entity type:Organization
Organization Name:AGING IN PLACE LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:
Authorized Official - First Name:SHERRI
Authorized Official - Middle Name:
Authorized Official - Last Name:MCMEANS
Authorized Official - Suffix:
Authorized Official - Credentials:LPN
Authorized Official - Phone:816-213-1795
Mailing Address - Street 1:1270 SW ARBOR PARK DR
Mailing Address - Street 2:
Mailing Address - City:LEES SUMMIT
Mailing Address - State:MO
Mailing Address - Zip Code:64082-4168
Mailing Address - Country:US
Mailing Address - Phone:816-213-1795
Mailing Address - Fax:
Practice Address - Street 1:1098 NE INDEPENDENCE AVE
Practice Address - Street 2:
Practice Address - City:LEES SUMMIT
Practice Address - State:MO
Practice Address - Zip Code:64086-5218
Practice Address - Country:US
Practice Address - Phone:816-213-1795
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2019-12-13
Last Update Date:2019-12-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes253Z00000XAgenciesIn Home Supportive Care
Provider Identifiers
StateIdentifier IDID TypeIssuer
MO2002005597OtherLPN LICENSE