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REGION IV AREA AGENCY ON AGING, INC
NPI 1265255327
Nurse Practitioner - Gerontology in Saint Joseph, MI

Active since November 06, 2024
2900 LAKEVIEW AVE, SAINT JOSEPH, MI 49085(269) 983-0177 Get Directions Write a Review

NPPES record last updated: December 10, 2024. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Dec 10, 2024, Nov 6, 2024 (2 updates tracked since 2024).

About Region Iv Area Agency On Aging, Inc NPPES

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

REGION IV AREA AGENCY ON AGING, INC (NPI 1265255327) is a healthcare organization registered as a gerontology in Saint Joseph, Michigan and active in the NPI registry since November 2024. The organization lists Christine Vanlandingham, Ceo, as its authorized official.

NPPES Registry Identity

NPI1265255327
Entity TypeOrganization
Primary Taxonomy363LG0600X
Legal Business NameREGION IV AREA AGENCY ON AGING, INC
Location Address2900 LAKEVIEW AVESaint Joseph, MI 49085-2379
Mailing Address2900 Lakeview AveSaint Joseph, MI 49085-2379
Phone(269) 983-0177
Organization SubpartNo
Authorized OfficialChristine VanlandinghamCeo · (269) 985-0103
Enumeration DateNovember 6, 2024
Last NPPES UpdateDecember 10, 20242 updates tracked since enumeration
NPPES CertifiedDecember 10, 2024
✔ NPI 1265255327 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyNurse Practitioner · GerontologyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LG0600X
Also ListedSocial Worker · ClinicalTaxonomy 1041C0700X
2900 LAKEVIEW AVE, Saint Joseph, MI 49085
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Other Identifiers 2

Medicaid4508944MI
Medicaid4509342MI

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

REGION IV AREA AGENCY ON AGING, INC
Case Management
2900 LAKEVIEW AVE
SAINT JOSEPH, MI 49085
Berrien County (269) 983-0177
TENNILLE SLAVENS
Case Manager/Care Coordinator
2900 LAKEVIEW AVE
SAINT JOSEPH, MI 49085
Berrien County (269) 932-7860
JENNIFER SCALLY
Case Manager/Care Coordinator
2900 LAKEVIEW AVE
SAINT JOSEPH, MI 49085
Berrien County (269) 982-7732
MRS. CAROLE ANNE DERUCKI FNP-BC
Nurse Practitioner (Family)
2900 LAKEVIEW AVE
SAINT JOSEPH, MI 49085
Berrien County (269) 932-7859
SHANNON KRAMER RD
Dietitian, Registered
2900 LAKEVIEW AVE
SAINT JOSEPH, MI 49085
Berrien County (229) 408-4322
DANA LYNNE WILLIS
Social Worker
2900 LAKEVIEW AVE
SAINT JOSEPH, MI 49085
Berrien County (269) 408-4322
REGION IV AREA AGENCY ON AGING, INC
Case Management
2900 LAKEVIEW AVE
SAINT JOSEPH, MI 49085
Berrien County (269) 983-0177
LOREN PERRY
Social Worker (Clinical)
2900 LAKEVIEW AVE
SAINT JOSEPH, MI 49085
Berrien County (269) 408-4322

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 Region IV Area Agency On Aging, Inc's NPI number?

The NPI number for Region IV Area Agency On Aging, Inc is 1265255327. It was assigned to this organization in the NPPES registry on November 6, 2024.

Where is Region IV Area Agency On Aging, Inc located?

Region IV Area Agency On Aging, Inc is located at 2900 Lakeview Ave, Saint Joseph, MI 49085. The listed phone number is (269) 983-0177.

What is Region IV Area Agency On Aging, Inc's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Gerontology, with taxonomy code 363LG0600X.

When was this NPI record last updated?

The NPPES record for Region IV Area Agency On Aging, Inc was last updated on December 10, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 20 months 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.