PICKAWAY COUNTY COMMISSION ON AGING (NPI# 1023219086) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1023219086 |
| Entity Type | Organization |
| Organization Name | PICKAWAY COUNTY COMMISSION ON AGING |
| Practice Address |
2105 Chickasaw Dr Circleville OH 43113-9199 |
| Mailing Address |
2105 Chickasaw Dr P O Box 565 Circleville OH 43113-9199 |
| Practice Telephone | 7404748831 |
| Practice Fax Number | 7404778114 |
| Mailing Telephone | 7404748831 |
| Mailing Fax Number | 7404778114 |
| Enumeration Date | 2007-05-29 |
| Last Update Date | 2020-08-22 |
| Authorized Official Name | MS. SUE FREY (EXECUTIVE DIRECTOR) |
| Authorized Official Telephone | 7404748831 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 171M00000X | Case Manager/Care Coordinator | Other Service Providers | ||
| Y | 171M00000X | Case Manager/Care Coordinator | 171M00000X | OH | Other Service Providers |
| Street Address |
2105 CHICKASAW DR |
| City | CIRCLEVILLE |
| State | OH |
| Zip Code | 43113-9199 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1104303882 | Charles Paul Bradley | Adult Companion | 776 North Court Street, Circleville, OH 43113 | 2018-07-25 |
| 1356841472 | Bobi Jo Carpenter | Nurse Practitioner | 1180 N. Court St., Circleville, OH 43113 | 2018-02-15 |
| 1235637968 | Denise Van Gundy | Social Worker | 26442 Kime Holderman Rd, Circleville, OH 43113 | 2018-01-29 |
| 1912425562 | Erin E Good | Audiologist-Hearing Aid Fitter | 5074 N High Street, Columbus, OH 43113 | 2017-09-05 |
| 1487178687 | Amy Michelle Provenzano | Nurse Practitioner | 600 N. Pickaway St, Suite 300 3rd Floor Mo Bldg, Circleville, OH 43113 | 2017-07-28 |
| 1801343371 | Amanda Hamman | Speech-Language Pathologist | 588 Clark Drive, Circleville, OH 43113 | 2016-09-01 |
| 1235588823 | Family Urgent Care LLC | Clinic/Center | 1180 North Court Street, Family Urgent Care, LLC, Circleville, OH 43113 | 2016-06-06 |
| 1801295878 | Andre Woeste | Psychologist | 100 Tiger Drive, Circleville, OH 43113 | 2014-08-15 |
| 1396159935 | Regina Ann Boysel | Home Health Aide | 200 Villa Drive, Circleville, OH 43113 | 2014-06-11 |
| 1760797542 | Chamberlain Family Therapy | Social Worker | 906 N. Court St. Suite C, Circleville, OH 43113 | 2010-08-17 |
| Find all providers in zip 43113 | ||||
| Taxonomy Code | 171M00000X |
| Grouping | Other Service Providers |
| Classification | Case Manager/Care Coordinator |
| A person who provides case management services and assists an individual in gaining access to needed medical, social, educational, and/or other services. The person has the ability to provide an assessment and review of completed plan of care on a periodic basis. This person is also able to take collaborative action to coordinate the services with other providers and monitor the enrollee’s progress toward the cost-effective achievement of objectives specified in the plan of care. Credentials may vary from an experience in the fields of psychology, social work, rehabilitation, nursing or a closely related human service field, to a related Assoc of Arts Degree or to nursing credentials. Some states may require certification in case management. |
| Notes: Source: CMS State Medicaid Manual Section 4442.3 [7/1/2006: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1740788157 | Victoria Myers | Case Manager/Care Coordinator | 101 1/2 W Main St, Circleville, OH 43113-1619 | 2018-01-31 |
| 1497353288 | Luke Marhoover | Case Manager/Care Coordinator | 327 E Mill St, Circleville, OH 43113-2029 | 2020-10-13 |
| 1659917292 | Danielle Renee Hurff | Case Manager/Care Coordinator | 110 Highland Ave, Circleville, OH 43113-1208 | 2019-11-19 |
| 1881245181 | Heather Ann Rodriguez | Case Manager/Care Coordinator | 110 Highland Ave, Circleville, OH 43113-1208 | 2019-09-27 |
| 1811548993 | Natalee Ann Rogerson | Case Manager/Care Coordinator | 110 Highland Ave, Circleville, OH 43113-1208 | 2019-09-20 |
| 1376193524 | Kelsea Lynne Gifford | Case Manager/Care Coordinator | 110 Highland Ave, Circleville, OH 43113-1208 | 2019-09-18 |
| 1700439312 | Amanda Maria Mitchell | Case Manager/Care Coordinator | 110 Highland Ave, Circleville, OH 43113-1208 | 2019-07-23 |
| 1467923268 | Amanda M Whitt | Case Manager/Care Coordinator | 110 Highland Ave, Circleville, OH 43113-1208 | 2018-12-06 |
| 1518438324 | Sierra Dawn Sadler | Case Manager/Care Coordinator | 110 Highland Ave, Circleville, OH 43113-1208 | 2018-12-06 |
| 1891264230 | Kristina Fairchild | Case Manager/Care Coordinator | 101 1/2 W Main St, Circleville, OH 43113-1619 | 2018-11-15 |
| Find all providers in CIRCLEVILLE | ||||
| City | CIRCLEVILLE |
| Zip Code | 43113 |
Please comment or provide details below to improve the information on PICKAWAY COUNTY COMMISSION ON AGING.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.