Provider Demographics
NPI:1295030005
Name:SENIOR SERVICES OF MONMOUTH
Entity Type:Organization
Organization Name:SENIOR SERVICES OF MONMOUTH
Other - Org Name:COMFORCARE SENIOR SERVICES
Other - Org Type:Doing Business As
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MR
Authorized Official - First Name:MICHAEL
Authorized Official - Middle Name:J
Authorized Official - Last Name:COSTIGAN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:609-747-8866
Mailing Address - Street 1:1816 MOUNT HOLLY RD
Mailing Address - Street 2:201
Mailing Address - City:BURLINGTON
Mailing Address - State:NJ
Mailing Address - Zip Code:08016
Mailing Address - Country:US
Mailing Address - Phone:609-747-8866
Mailing Address - Fax:609-747-8869
Practice Address - Street 1:1816 MOUNT HOLLY RD
Practice Address - Street 2:SUITE 201
Practice Address - City:BURLINGTON
Practice Address - State:NJ
Practice Address - Zip Code:08016-4718
Practice Address - Country:US
Practice Address - Phone:609-747-8866
Practice Address - Fax:609-747-8869
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2011-01-26
Last Update Date:2011-01-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJHP0087600251E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health