Provider Demographics
NPI:1386182871
Name:SENIORS' RESOURCE CENTER, INC STARR
Entity Type:Organization
Organization Name:SENIORS' RESOURCE CENTER, INC STARR
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT/CEO
Authorized Official - Prefix:
Authorized Official - First Name:JOHN
Authorized Official - Middle Name:
Authorized Official - Last Name:ZABAWA
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:303-238-8151
Mailing Address - Street 1:3227 CHASE ST
Mailing Address - Street 2:
Mailing Address - City:WHEAT RIDGE
Mailing Address - State:CO
Mailing Address - Zip Code:80212-7033
Mailing Address - Country:US
Mailing Address - Phone:303-238-8151
Mailing Address - Fax:303-238-4393
Practice Address - Street 1:7815 W 16TH AVE
Practice Address - Street 2:
Practice Address - City:LAKEWOOD
Practice Address - State:CO
Practice Address - Zip Code:80214-6003
Practice Address - Country:US
Practice Address - Phone:303-233-0324
Practice Address - Fax:303-233-0329
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:SENIORS' RESOURCE CENTER, INC.
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2017-02-06
Last Update Date:2017-02-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QA0600XAmbulatory Health Care FacilitiesClinic/CenterAdult Day Care
No261QD1600XAmbulatory Health Care FacilitiesClinic/CenterDevelopmental Disabilities
No343900000XTransportation ServicesNon-emergency Medical Transport (VAN)