Provider Demographics
NPI:1437218245
Name:AAGING BETTER IN-HOME CARE, LLC
Entity type:Organization
Organization Name:AAGING BETTER IN-HOME CARE, LLC
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT & CEO
Authorized Official - Prefix:
Authorized Official - First Name:BRANDT
Authorized Official - Middle Name:D
Authorized Official - Last Name:WEAVER
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:208-777-0308
Mailing Address - Street 1:1014 N PINES RD STE 110
Mailing Address - Street 2:
Mailing Address - City:SPOKANE VALLEY
Mailing Address - State:WA
Mailing Address - Zip Code:99206-6144
Mailing Address - Country:US
Mailing Address - Phone:509-464-2344
Mailing Address - Fax:509-868-0165
Practice Address - Street 1:1014 N PINES RD STE 110
Practice Address - Street 2:
Practice Address - City:SPOKANE VALLEY
Practice Address - State:WA
Practice Address - Zip Code:99206-6144
Practice Address - Country:US
Practice Address - Phone:509-464-2344
Practice Address - Fax:509-868-0165
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-12-07
Last Update Date:2023-01-23
Deactivation Date:2020-07-01
Deactivation Code:
Reactivation Date:2020-08-22
Provider Licenses
StateLicense IDTaxonomies
IDNOT REQUIRED251B00000X, 251C00000X, 251J00000X, 347C00000X, 251E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health
No251B00000XAgenciesCase Management
No251C00000XAgenciesDay Training, Developmentally Disabled Services
No251J00000XAgenciesNursing Care
No347C00000XTransportation ServicesPrivate Vehicle
Provider Identifiers
StateIdentifier IDID TypeIssuer
ID806829100Medicaid
ID806726300Medicaid
ID807265200Medicaid
ID807391100Medicaid
ID806973400Medicaid
ID807035400Medicaid
ID807439800Medicaid