Provider Demographics
NPI:1043652894
Name:SENIOR MATTERS EXTENDED CARE SERVICES, LLC
Entity Type:Organization
Organization Name:SENIOR MATTERS EXTENDED CARE SERVICES, LLC
Other - Org Name:ONE MATTERS
Other - Org Type:Doing Business As
Authorized Official - Title/Position:DIR. OF CASE MGMT. & NON-MED. SERVI
Authorized Official - Prefix:
Authorized Official - First Name:HEATHER
Authorized Official - Middle Name:
Authorized Official - Last Name:FUTCH
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:803-765-1838
Mailing Address - Street 1:2711 MIDDLEBURG DR
Mailing Address - Street 2:SUITE 201
Mailing Address - City:COLUMBIA
Mailing Address - State:SC
Mailing Address - Zip Code:29204-2413
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:2711 MIDDLEBURG DR
Practice Address - Street 2:SUITE 201
Practice Address - City:COLUMBIA
Practice Address - State:SC
Practice Address - Zip Code:29204-2413
Practice Address - Country:US
Practice Address - Phone:803-765-1838
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:SENIOR MATTERS EXTENDED CARE SERVICES, LLC
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2013-07-22
Last Update Date:2013-10-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes372600000XNursing Service Related ProvidersAdult CompanionGroup - Single Specialty