Provider Demographics
NPI:1407196819
Name:SILENT SENIORS COMMUNITY CARE LLC
Entity Type:Organization
Organization Name:SILENT SENIORS COMMUNITY CARE LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:VP OF CLINICAL OPERATIONS
Authorized Official - Prefix:
Authorized Official - First Name:LYNNE
Authorized Official - Middle Name:
Authorized Official - Last Name:PADILLA
Authorized Official - Suffix:
Authorized Official - Credentials:CPC
Authorized Official - Phone:505-228-1857
Mailing Address - Street 1:13010 MORRIS RD
Mailing Address - Street 2:BLDG 2
Mailing Address - City:ALPHARETTA
Mailing Address - State:GA
Mailing Address - Zip Code:30004-3873
Mailing Address - Country:US
Mailing Address - Phone:678-942-2000
Mailing Address - Fax:
Practice Address - Street 1:13010 MORRIS RD
Practice Address - Street 2:BLDG 2
Practice Address - City:ALPHARETTA
Practice Address - State:GA
Practice Address - Zip Code:30004-3873
Practice Address - Country:US
Practice Address - Phone:678-942-2000
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2013-02-21
Last Update Date:2013-02-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes363L00000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerGroup - Multi-Specialty
No363A00000XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician AssistantGroup - Multi-Specialty