Provider Demographics
NPI:1093223000
Name:ADVANCED SENIOR CARE, LLC
Entity Type:Organization
Organization Name:ADVANCED SENIOR CARE, LLC
Other - Org Name:SENIOR HELPERS
Other - Org Type:Doing Business As
Authorized Official - Title/Position:CEO/OWNER
Authorized Official - Prefix:
Authorized Official - First Name:TERRY
Authorized Official - Middle Name:
Authorized Official - Last Name:WATTS
Authorized Official - Suffix:
Authorized Official - Credentials:MBA
Authorized Official - Phone:916-671-5777
Mailing Address - Street 1:3336 BRADSHAW RD STE 275
Mailing Address - Street 2:
Mailing Address - City:SACRAMENTO
Mailing Address - State:CA
Mailing Address - Zip Code:95827-2620
Mailing Address - Country:US
Mailing Address - Phone:916-671-5777
Mailing Address - Fax:916-228-4694
Practice Address - Street 1:3336 BRADSHAW RD STE 275
Practice Address - Street 2:
Practice Address - City:SACRAMENTO
Practice Address - State:CA
Practice Address - Zip Code:95827-2620
Practice Address - Country:US
Practice Address - Phone:916-671-5777
Practice Address - Fax:916-228-4694
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2018-01-12
Last Update Date:2018-01-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA344700053253Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes253Z00000XAgenciesIn Home Supportive Care