Provider Demographics
NPI:1225388879
Name:SENIOR CARE AT HOME INC
Entity Type:Organization
Organization Name:SENIOR CARE AT HOME INC
Other - Org Name:PREFERRED CARE AT HOME
Other - Org Type:Doing Business As
Authorized Official - Title/Position:ADMINESTRATOR
Authorized Official - Prefix:MR
Authorized Official - First Name:BAHMAN
Authorized Official - Middle Name:
Authorized Official - Last Name:BAVIFARD
Authorized Official - Suffix:
Authorized Official - Credentials:MS
Authorized Official - Phone:716-406-2662
Mailing Address - Street 1:8650 GOLDEN ROD CT
Mailing Address - Street 2:
Mailing Address - City:EAST AMHERST
Mailing Address - State:NY
Mailing Address - Zip Code:14051-2071
Mailing Address - Country:US
Mailing Address - Phone:716-406-2662
Mailing Address - Fax:
Practice Address - Street 1:8650 GOLDEN ROD CT
Practice Address - Street 2:
Practice Address - City:EAST AMHERST
Practice Address - State:NY
Practice Address - Zip Code:14051-2071
Practice Address - Country:US
Practice Address - Phone:716-406-2662
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2012-09-11
Last Update Date:2012-09-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes253Z00000XAgenciesIn Home Supportive Care