Provider Demographics
NPI:1073264677
Name:SENIOR ASSISTANCE, LLC
Entity Type:Organization
Organization Name:SENIOR ASSISTANCE, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DIRECTOR OF OPERATION / CO-OWNER
Authorized Official - Prefix:
Authorized Official - First Name:PHYLICIA
Authorized Official - Middle Name:H
Authorized Official - Last Name:SHEEAN
Authorized Official - Suffix:
Authorized Official - Credentials:SENIOR ADVOCATE
Authorized Official - Phone:916-544-4040
Mailing Address - Street 1:P.O. BOX 53
Mailing Address - Street 2:
Mailing Address - City:ROSEVILLE
Mailing Address - State:CA
Mailing Address - Zip Code:95661
Mailing Address - Country:US
Mailing Address - Phone:916-544-4040
Mailing Address - Fax:916-692-8787
Practice Address - Street 1:4441 AUBURN BLVD, SUITE P
Practice Address - Street 2:
Practice Address - City:SACRAMENTO
Practice Address - State:CA
Practice Address - Zip Code:95841
Practice Address - Country:US
Practice Address - Phone:916-945-9877
Practice Address - Fax:916-692-8787
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:SENIOR ASSISTANCE, LLC
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2022-01-14
Last Update Date:2022-01-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes253Z00000XAgenciesIn Home Supportive CareGroup - Multi-Specialty
No171M00000XOther Service ProvidersCase Manager/Care CoordinatorGroup - Multi-Specialty
No3747A0650XNursing Service Related ProvidersTechnicianAttendant Care ProviderGroup - Multi-Specialty
No374T00000XNursing Service Related ProvidersReligious Nonmedical Nursing PersonnelGroup - Multi-Specialty