AGELESS MEN'S HEALTH – NPI #1932704830
Family Medicine

The NUCC recommends this code not be used. Choose a more appropriate code.

Health Care Provider Taxonomy Code for Family Medicine

AGELESS MEN'S HEALTH is a provider located in PHOENIX, AZ. NPPES has assigned the NPI number 1932704830 to AGELESS MEN'S HEALTH on December 01, 2020. It is a Type-2 NPI, indicating this NPI number is associated with an organization. Since the name “AGELESS MEN'S HEALTH” is a dba name, the actual legal business name for this organization is AGELESS NUTRITION BAR HOLDINGS, INC. With multiple taxonomy codes selected, the primary taxonomy selected by this provider is 207QA0505X from the Health Care Provider Taxonomy code set, which is classified as Family Medicine, specializing in Adult Medicine

The NPI profile was previously updated about 3 years ago on Nov 13, 2023. 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 AGELESS MEN'S HEALTH below.

NPI Profile for
AGELESS NUTRITION BAR HOLDINGS, INC

NPI Number
1932704830
Enumeration Date

(more than 5 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
AGELESS NUTRITION BAR HOLDINGS, INC
Doing Business As (dba): AGELESS MEN'S HEALTH
Primary location
4802 E RAY RD # 9
PHOENIX, AZ 85044-6405
Phone: (901) 757-3643 Fax:
Mailing address
Same as primary location
Organization Subpart
No
Authorized Official
TEAH SMITH
CREDENTIALING MANAGER
Phone: (901) 205-3999
Updated
Certification Date
Nov 13, 2023

Note: NPPES allows providers to attest to the accuracy of their NPI data. When a provider request any change to the NPI record, they will be able to attest to their changed NPI data, resulting in an updated certification date.

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
207QA0505X
- Family Medicine / Adult Medicine (Primary)
261QP2300X
- Clinic/Center / Primary Care

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.