Provider Demographics
NPI:1386190114
Name:SENIOR CARE SERVICES INC.
Entity Type:Organization
Organization Name:SENIOR CARE SERVICES INC.
Other - Org Name:HOME CARE ASSISTANCE OF SOUTHERN FAIRFIELD COUNTY
Other - Org Type:Doing Business As
Authorized Official - Title/Position:PRESIDENT AND CEO
Authorized Official - Prefix:MR
Authorized Official - First Name:LARRY
Authorized Official - Middle Name:
Authorized Official - Last Name:GILMORE
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:240-353-1233
Mailing Address - Street 1:365 WESTPORT AVE
Mailing Address - Street 2:
Mailing Address - City:NORWALK
Mailing Address - State:CT
Mailing Address - Zip Code:06851-4344
Mailing Address - Country:US
Mailing Address - Phone:203-842-8863
Mailing Address - Fax:203-842-8864
Practice Address - Street 1:365 WESTPORT AVE
Practice Address - Street 2:
Practice Address - City:NORWALK
Practice Address - State:CT
Practice Address - Zip Code:06851-4344
Practice Address - Country:US
Practice Address - Phone:203-842-8863
Practice Address - Fax:203-842-8864
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2016-08-31
Last Update Date:2016-08-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CTHCA.0000881251E00000X, 253Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes253Z00000XAgenciesIn Home Supportive Care
No251E00000XAgenciesHome Health