Agespan, Inc.

LBN: Agespan, Inc.
Agespan, Inc. is an health care organization with primary practice located at 280 Merrimack St Ste 400 , Lawrence MA 01843-1787. The organization recently has only one registered license in Other Service Providers / Case Manager/Care Coordinator, which is considered as the primary health care specialty. Agespan, Inc. can be contacted via phone (800) 892-0890, or through Hatem-Roy, Joan via phone (978) 946-1361.

Contact Information

Primary practice address
280 Merrimack St Ste 400 Lawrence MA 01843-1787
Phone: (800) 892-0890
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Hatem-Roy, Joan LICSW
Phone: (978) 946-1361

Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Case Manager/Care Coordinator 171M00000X

Profile Details

NPI number 1619468659
LBN Legal business name Agespan, Inc.
DBA Doing business as
Authorized official Hatem-Roy, Joan LICSW
Entity Organization
Organization subpart 1 No
Enumeration date May 25th, 2018
Last updated Apr 25th, 2022 - about 2 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1619468659 NPPES
Massachusetts MEDICAID 110024294

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