MEDICARE: AREA SERVICES

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	310400000X	Assisted Living Facility

General Provider Information

NPI Number	:	1053057109
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	AREA SERVICES

Provider Business Mailing Address
First Line	:	21706 COUNTY 2
Second Line	:
City	:	NEVIS
State	:	MN
Zip	:	56467-4001
Country	:	US
Telephone Number	:	218-616-0017
Fax Number	:

Provider Business Practice Location Address
First Line	:	804 SE 16TH PL
Second Line	:
City	:	CAPE CORAL
State	:	FL
Zip	:	33990-1645
Country	:	US
Telephone Number	:	239-574-9494
Fax Number	:

Authorized Official
Title or Position	:	OWNER- EFFECTIVE 07/01/2022
Name	:	JENNIFER J SCOUTON
Credential	:
Telephone Number	:	218-616-0017

Provider Enumeration Date	:	05/11/2022
Last Update Date	:	05/11/2022

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Directions to “AREA SERVICES ” Practice Location

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