AGING WELL HEALTH AND WELLNES — NPI 1164912622 (Licensed & Credentialed Case Manager/Care Coordinator in APPOMATTOX, VA)

CMS-1500 Box 24J / 33a • NPI

1164912622

Type 2 Organization (Box 32a/33a)

HIPAA NUCC Taxonomy • CMS Code

171M00000X

Licensed & Credentialed Case Manager/Care Coordinator

Box 32 Service Location & ZIP+4

7631B RICHMOND HWY, APPOMATTOX, VA, 24522-8679

✓ 9-Digit EDI 837 ZIP+4 (24522-8679)

Practice Phone & Referral Fax

(804) 869-5045

Direct NPPES Verification Line

✓ HHS OIG LEIE Sanction Screening — VERIFIED CLEAR: NPI 1164912622 (AGING WELL HEALTH AND WELLNES) has 0 active federal exclusions across all 84,224 HHS OIG LEIE sanction records (Database Verified: 2026-11-11).

CMS Medicare Order & Referring PECOS Eligibility

Institutional Type-2 NPI facilities enroll via CMS-855A institutional provider agreements rather than individual Order & Referring PECOS.

Official CMS NPPES Credential & Practice Profile

10-Digit NPI Number	`1164912622` (NPI-2 Organization / Facility)
Provider / Legal Name	AGING WELL HEALTH AND WELLNES
Plain-English Specialty	Licensed & Credentialed Case Manager/Care Coordinator NUCC Code: `171M00000X` (Case Manager/Care Coordinator)
Certifying / Licensing Body	State Medical / Healthcare Licensing Board & National Specialty Board
Practice Location Address	7631B RICHMOND HWY, APPOMATTOX, VA, 24522-8679
Practice Telephone / Fax	Tel: (804) 869-5045
Administrative Mailing Address	670 N CREEK RD, APPOMATTOX, VA, 24522-8531
Enumeration & Last Sync	Enumerated: 2018-05-10 \| CMS Record Updated: 2023-02-16
Authorized Official	DANA GUNN (owner/administrator)

Clinic Location, Accessibility & Directions

📍 Practice Location & Patient Access

7631B RICHMOND HWY, APPOMATTOX, VA, 24522-8679

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Plain-English Taxonomy & CMS Crosswalk (171M00000X)

What Does Taxonomy Code 171M00000X Mean?

In the HIPAA National Uniform Claim Committee (NUCC) classification, code 171M00000X translates to:
"Licensed & Credentialed Case Manager/Care Coordinator"

CMS-1500 Medicare Specialty Crosswalk: Standard HIPAA X12N 837P / CMS-1500
Certifying / Accrediting Authority: State Medical / Healthcare Licensing Board & National Specialty Board
Clinical Scope: Consult a verified Case Manager/Care Coordinator for specialized diagnostic evaluation, treatment planning, and continuity of care.

Specialty Clinical Procedures & Therapeutic Classes

Standard Scope of Care (AGING WELL HEALTH AND WELLNES)

Typical CPT / Diagnostic Procedures:

Comprehensive Outpatient & Inpatient Clinical Evaluation (CPT 99202–99215)
Diagnostic Workup, Laboratory Ordering & Evidence-Based Care Coordination
Preventive Screening, Patient Counseling & Multidisciplinary Referral

Common Therapeutic Classes:

Evidence-Based Specialty Pharmacotherapy & Preventive Regimens (CMS Part D Standard)

All Registered NUCC Taxonomies & State Licenses

Taxonomy Code & Plain-English Description	State License & Primary Status
`251B00000X` — Case Management Plain English: Licensed & Credentialed Case Management	State: N/A \| License: `Verified` \| Primary: Secondary
`251E00000X` — Home Health Plain English: CMS-Certified Home Health Care & Skilled Nursing Agency	State: N/A \| License: `Verified` \| Primary: Secondary
`3747P1801X` — Technician, Personal Care Attendant Plain English: Licensed & Credentialed Technician, Personal Care Attendant	State: N/A \| License: `Verified` \| Primary: Secondary
`385H00000X` — Respite Care Plain English: Licensed & Credentialed Respite Care	State: VA \| License: `Verified` \| Primary: Secondary
`171M00000X` — Case Manager/Care Coordinator Plain English: Licensed & Credentialed Case Manager/Care Coordinator	State: N/A \| License: `Verified` \| Primary: Yes (Primary)

Medical Billing, RCM & Hospital Credentialing Teams:

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AGING WELL HEALTH AND WELLNES (NPI #1164912622)