Provider Demographics
NPI:1245785989
Name:SENIOR CARE RESOURCES INC.
Entity Type:Organization
Organization Name:SENIOR CARE RESOURCES INC.
Other - Org Name:SENIOR HELPERS OF THE DESERT
Other - Org Type:Doing Business As
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:
Authorized Official - First Name:KERRY
Authorized Official - Middle Name:
Authorized Official - Last Name:GOSS
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:760-343-5533
Mailing Address - Street 1:72096 DUNHAM WAY
Mailing Address - Street 2:SUITE H
Mailing Address - City:THOUSAND PALMS
Mailing Address - State:CA
Mailing Address - Zip Code:92276-3320
Mailing Address - Country:US
Mailing Address - Phone:760-343-5533
Mailing Address - Fax:760-343-5543
Practice Address - Street 1:72096 DUNHAM WAY
Practice Address - Street 2:SUITE H
Practice Address - City:THOUSAND PALMS
Practice Address - State:CA
Practice Address - Zip Code:92276-3320
Practice Address - Country:US
Practice Address - Phone:760-343-5533
Practice Address - Fax:760-343-5543
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2016-08-23
Last Update Date:2016-08-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA334700018253Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes253Z00000XAgenciesIn Home Supportive Care