Provider Demographics
NPI:1356645998
Name:SENIOR SOLUTIONS AT HOME, INC.
Entity Type:Organization
Organization Name:SENIOR SOLUTIONS AT HOME, INC.
Other - Org Name:SENIOR SOLUTIONS AT HOME
Other - Org Type:Doing Business As
Authorized Official - Title/Position:PRESIDENT & COO
Authorized Official - Prefix:MR
Authorized Official - First Name:KUNU
Authorized Official - Middle Name:
Authorized Official - Last Name:KAUSHAL
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:615-522-4323
Mailing Address - Street 1:209 WARD CIR
Mailing Address - Street 2:SUITE 102
Mailing Address - City:BRENTWOOD
Mailing Address - State:TN
Mailing Address - Zip Code:37027-7579
Mailing Address - Country:US
Mailing Address - Phone:615-377-6566
Mailing Address - Fax:888-769-7724
Practice Address - Street 1:209 WARD CIR
Practice Address - Street 2:SUITE 102
Practice Address - City:BRENTWOOD
Practice Address - State:TN
Practice Address - Zip Code:37027-7579
Practice Address - Country:US
Practice Address - Phone:615-377-6566
Practice Address - Fax:888-769-7724
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2010-12-22
Last Update Date:2010-12-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TN1000000007666253Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes253Z00000XAgenciesIn Home Supportive Care