ADVANCED AGE MANAGEMENT PLLC – NPI #1689978041
Clinic/Center

ADVANCED AGE MANAGEMENT PLLC is an AHC clinic located in GRAND RAPIDS, MI. NPPES has assigned the NPI number 1689978041 to ADVANCED AGE MANAGEMENT PLLC on December 28, 2010. It is a Type-2 NPI, indicating this NPI number is associated with an organization. The primary taxonomy selected by this provider is 261QP2300X from the Health Care Provider Taxonomy code set, which is classified as Clinic/Center, specializing in Primary Care

The NPI profile was previously updated about 15 years ago on Apr 11, 2011. Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for ADVANCED AGE MANAGEMENT PLLC below.

NPI Profile for
ADVANCED AGE MANAGEMENT PLLC

NPI Number
1689978041
Enumeration Date

(more than 15 years ago)
Entity Type
Type-2  Organization
Organization health care providers may have a single employee or thousands of employees. An example is an incorporated individual who is an organization's only employee.
Legal Name
ADVANCED AGE MANAGEMENT PLLC
Primary location
1787 GRAND RIDGE CT NE
SUITE 202
GRAND RAPIDS, MI 49525-7042
Phone: (616) 808-2695 Fax:
Mailing address
1675 FLOWERS CROSSING DR NE
GRAND RAPIDS, MI 49525-9521
Phone: (616) 634-6240 Fax:
Organization Subpart
No
Authorized Official
PIYUSH BHATNAGAR
OWNER
Phone: (616) 634-6240
Updated
Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

Taxonomy Classification / Specialization State License
261QP2300X
- Clinic/Center / Primary Care (Primary)

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.