DETROIT AREA AGENCY ON AGING
NPI 1104997121
Case Management in Detroit, MI

Active since November 13, 2006
1333 BREWERY PARK BLVD STE 200, DETROIT, MI 48207(313) 446-4444(313) 446-4445 Get Directions Write a Review

NPPES record last updated: February 7, 2023. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Detroit Area Agency On Aging NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DETROIT AREA AGENCY ON AGING (NPI 1104997121) is a healthcare organization registered as a case management in Detroit, Michigan and active in the NPI registry since November 2006. The organization lists Ronald Taylor, President & Ceo, as its authorized official.

NPPES Registry Identity

NPI1104997121
Entity TypeOrganization
Primary Taxonomy251B00000X
Legal Business NameDETROIT AREA AGENCY ON AGING
Location Address1333 BREWERY PARK BLVD STE 200Detroit, MI 48207-4544
Mailing Address1333 Brewery Park Blvd Ste 200Detroit, MI 48207-4544 · (313) 446-4444 · Fax (313) 446-4445
Fax(313) 446-4445
Organization SubpartNo
Authorized OfficialRonald TaylorPresident & Ceo · (313) 446-4444
Enumeration DateNovember 13, 2006
Last NPPES UpdateFebruary 7, 2023
NPPES CertifiedDecember 3, 2021
✔ NPI 1104997121 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCase ManagementAgencies
Taxonomy Code251B00000X
Definition
An organization that is responsible for providing case management services. The agency provides services which assist an individual in gaining access to needed medical, social, educational, and/or other services. Case management services may be used to locate, coordinate, and monitor necessary appropriate services. It may be used to encourage the use of cost-effective medical care by referrals to appropriate providers and to discourage over utilization of costly services. Case management may also serve to provide necessary coordination of non-medical services such as vocational rehabilitation, education, employment, when the services provided enable the individual to function at the highest level.
1333 BREWERY PARK BLVD STE 200, Detroit, MI 48207

Other Identifiers 2

Medicaid4509010MI
Medicaid4509511MI

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Detroit Area Agency On Aging is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

2

Medicare enrollment records show 2 clinicians reassign Medicare billing to Detroit Area Agency On Aging, which bills Medicare for the services they deliver. Of these, 1 practice within 10 miles. They are listed nearest first.

Clinicians, nearest first (2)

Internal Medicine
NPI 1811055858
7633 E JEFFERSON AVE SUITE 340
Detroit, MI 48214
(313) 822-9801
✔ PECOS✔ Accepts Medicare2.2 mi
Nurse Practitioner
NPI 1518336080
17515 W 9 MILE RD 375
Southfield, MI 48075
(248) 559-0950
✔ PECOS✔ Accepts Medicare12 mi

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Detroit Area Agency On Aging's NPI number?

The NPI number for Detroit Area Agency On Aging is 1104997121. It was assigned to this organization in the NPPES registry on November 13, 2006.

Where is Detroit Area Agency On Aging located?

Detroit Area Agency On Aging is located at 1333 Brewery Park Blvd Ste 200, Detroit, MI 48207. The listed phone number is (313) 446-4444.

What is Detroit Area Agency On Aging's specialty?

The primary specialty registered for this NPI is Case Management with taxonomy code 251B00000X.

Is Detroit Area Agency On Aging enrolled in Medicare?

Yes. Detroit Area Agency On Aging is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Detroit Area Agency On Aging?

According to the CMS Revalidation Reassignment List (October 2026 release), 2 clinicians reassign their Medicare billing to Detroit Area Agency On Aging, in Internal Medicine and Nurse Practitioner. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. Of these, 1 practice within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

What insurance does Detroit Area Agency On Aging accept?

Health plans from Ambetter Health, Ambetter from Buckeye Health Plan and Ambetter from Meridian list Detroit Area Agency On Aging as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Detroit Area Agency On Aging was last updated on February 7, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.