Provider Demographics
NPI:1093569428
Name:SENIORLINK HOME CARE
Entity Type:Organization
Organization Name:SENIORLINK HOME CARE
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER/DIRECTOR
Authorized Official - Prefix:MS
Authorized Official - First Name:AMINA
Authorized Official - Middle Name:A
Authorized Official - Last Name:MOHAMED
Authorized Official - Suffix:
Authorized Official - Credentials:CEO
Authorized Official - Phone:573-639-9072
Mailing Address - Street 1:403 VANDIVER DR STE E
Mailing Address - Street 2:
Mailing Address - City:COLUMBIA
Mailing Address - State:MO
Mailing Address - Zip Code:65202-1663
Mailing Address - Country:US
Mailing Address - Phone:573-639-9072
Mailing Address - Fax:
Practice Address - Street 1:403 VANDIVER DR STE E
Practice Address - Street 2:
Practice Address - City:COLUMBIA
Practice Address - State:MO
Practice Address - Zip Code:65202-1663
Practice Address - Country:US
Practice Address - Phone:573-639-9072
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-04-12
Last Update Date:2024-04-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes372500000XNursing Service Related ProvidersChore Provider