Provider Demographics
NPI:1235615170
Name:SENIORCARE COMPANIONS, INC
Entity Type:Organization
Organization Name:SENIORCARE COMPANIONS, INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:BERNHARD
Authorized Official - Middle Name:JOHN
Authorized Official - Last Name:SENGSTOCK
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:631-581-9000
Mailing Address - Street 1:152 ISLIP AVE
Mailing Address - Street 2:SUITE 25
Mailing Address - City:ISLIP
Mailing Address - State:NY
Mailing Address - Zip Code:11751
Mailing Address - Country:US
Mailing Address - Phone:631-581-9000
Mailing Address - Fax:631-277-4311
Practice Address - Street 1:152 ISLIP AVE
Practice Address - Street 2:SUITE 25
Practice Address - City:ISLIP
Practice Address - State:NY
Practice Address - Zip Code:11751
Practice Address - Country:US
Practice Address - Phone:631-581-9000
Practice Address - Fax:631-277-4311
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2018-07-13
Last Update Date:2018-07-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY251E00000X
253Z00000X
NY95044618000117376J00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes251E00000XAgenciesHome HealthGroup - Multi-Specialty
No253Z00000XAgenciesIn Home Supportive CareGroup - Multi-Specialty
No376J00000XNursing Service Related ProvidersHomemakerGroup - Multi-Specialty