| Aging Interventions, Inc | |
|
804 Sw 2nd Ave Cape Coral FL 33991-2501 | |
| (239) 257-8729 | |
| Not Available |
| Full Name | Aging Interventions, Inc |
|---|---|
| Speciality | Community/Behavioral Health |
| Location | 804 Sw 2nd Ave, Cape Coral, Florida |
| Authorized Official Name and Position | John Randall Magin (PRESIDENT) |
| Authorized Official Contact | 2392578729 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Aging Interventions, Inc 804 Sw 2nd Ave Cape Coral FL 33991-2501 Ph: (239) 257-8729 | Aging Interventions, Inc 804 Sw 2nd Ave Cape Coral FL 33991-2501 Ph: (239) 257-8729 |
| NPI Number | 1265066583 |
|---|---|
| Provider Enumeration Date | 02/25/2020 |
| Last Update Date | 02/25/2020 |
| Certification Date | 02/25/2020 |
| Medicare PECOS PAC ID | 0941630016 |
|---|---|
| Medicare Enrollment ID | O20200414002032 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1265066583 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | (* (Not Available)) | Primary |
| Provider Name | Karen Magin |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1114317534 PECOS PAC ID: 4284951443 Enrollment ID: I20150326002126 |
| Provider Name | Doreen Brady |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1669789665 PECOS PAC ID: 5193142651 Enrollment ID: I20200828000917 |
| Provider Name | Donna San Salvador |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1811233166 PECOS PAC ID: 1557808185 Enrollment ID: I20240801000020 |
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