Provider Demographics
NPI:1346138468
Name:CMSENIORCARE LLC
Entity type:Organization
Organization Name:CMSENIORCARE LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:YUNG
Authorized Official - Middle Name:
Authorized Official - Last Name:CHOI
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:626-310-0853
Mailing Address - Street 1:9650 TELSTAR AVE UNIT A
Mailing Address - Street 2:
Mailing Address - City:EL MONTE
Mailing Address - State:CA
Mailing Address - Zip Code:91731-3011
Mailing Address - Country:US
Mailing Address - Phone:626-310-0853
Mailing Address - Fax:
Practice Address - Street 1:9650 TELSTAR AVE UNIT A
Practice Address - Street 2:
Practice Address - City:EL MONTE
Practice Address - State:CA
Practice Address - Zip Code:91731-3011
Practice Address - Country:US
Practice Address - Phone:626-310-0853
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-06-26
Last Update Date:2025-06-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes253Z00000XAgenciesIn Home Supportive Care