MEDICARE: REGION VII AREA AGENCY ON AGING INC

Medicare Provider Information

Scope of Practice

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

#	Taxonomy Code	Taxonomy	License Number State
1	363L00000X	Nurse Practitioner
2	207Q00000X	Family Medicine Physician
3	251B00000X	Case Management Agency	MI
4	333600000X	Pharmacy
5	261Q00000X	Clinic/Center
6	251T00000X	PACE Provider Organization

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	4509404	OTHER	MI	TARGETED CARE MANAGEMENT
2	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1477654127
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	REGION VII AREA AGENCY ON AGING INC

Provider Business Mailing Address
First Line	:	1615 S EUCLID AVE
Second Line	:
City	:	BAY CITY
State	:	MI
Zip	:	48706-3319
Country	:	US
Telephone Number	:	989-893-4506
Fax Number	:	989-893-4506

Provider Business Practice Location Address
First Line	:	5229 LAKESHORE ROAD
Second Line	:
City	:	FORT GRATIOT
State	:	MI
Zip	:	48059
Country	:	US
Telephone Number	:	810-388-6300
Fax Number	:	810-388-6305

Authorized Official
Title or Position	:	CHIEF EXECUTIVE OFFICER
Name	:	MRS. DAYNA ALTOM
Credential	:
Telephone Number	:	989-893-4506

Provider Enumeration Date	:	09/26/2006
Last Update Date	:	03/06/2026

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