LAKE COUNTRY AREA AGENCY ON AGING NPI 1609953587

NPI Information

NPI: 1609953587
Provider Name: LAKE COUNTRY AREA AGENCY ON AGING

Other Name: LCAAA

Classification: Durable Medical Equipment & Medical Supplies - 332B00000X
Entity Type: Organization
Address:
1105 W DANVILLE ST
SOUTH HILL, VA
ZIP 23970
Phone: (434) 447-7661
Get Directions

LAKE COUNTRY AREA AGENCY ON AGING is a durable medical equipment medical supplies in South Hill, VA. The provider is a supplier of medical equipment such as respirators, wheelchairs, home dialysis systems, or monitoring systems, that are prescribed by a physician for a patient's use in the home and that are usable for an extended period of time. LAKE COUNTRY AREA AGENCY ON AGING NPI is 1609953587. The provider is registered as an organization entity type.
The provider Other Name Is Lcaaa.

The provider's business location address is:

1105 W DANVILLE ST
SOUTH HILL, VA
ZIP 23970-501
Phone: (434) 447-7661
Fax: (434) 447-4074

The provider's authorized official is Gwen Hinzman .
The authorized official title is President/ceo and has the following contact phone number (434) 447-7661.

The enumeration date for this NPI number is 10/31/2006 and was last updated on 7/17/2017.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	261QA0600X	Clinic/Center	Adult Day Care	ADC782951	VIRGINIA	No
2	3747P1801X	Technician	Personal Care Attendant	HC0-17668	VIRGINIA	No
3	385H00000X	Respite Care		HC0-17668	VIRGINIA	No
4	332B00000X	Durable Medical Equipment & Medical Supplies				Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	9114629	MEDICAID	VIRGINIA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

NPI Synchronization or Removal

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