Provider Demographics
NPI:1962537787
Name:AGING CONSULT INC.
Entity type:Organization
Organization Name:AGING CONSULT INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:REBECCA
Authorized Official - Middle Name:ANN
Authorized Official - Last Name:RENGO-KOCHER
Authorized Official - Suffix:
Authorized Official - Credentials:MSW
Authorized Official - Phone:636-300-3948
Mailing Address - Street 1:PO BOX 411063
Mailing Address - Street 2:
Mailing Address - City:SAINT LOUIS
Mailing Address - State:MO
Mailing Address - Zip Code:63141-3063
Mailing Address - Country:US
Mailing Address - Phone:636-300-3948
Mailing Address - Fax:636-300-3481
Practice Address - Street 1:1 BELCOURT CIR
Practice Address - Street 2:
Practice Address - City:SAINT CHARLES
Practice Address - State:MO
Practice Address - Zip Code:63304-4501
Practice Address - Country:US
Practice Address - Phone:636-300-3948
Practice Address - Fax:636-300-3481
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-02-22
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MOSW000377104100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes104100000XBehavioral Health & Social Service ProvidersSocial WorkerGroup - Single Specialty