Provider Demographics
NPI:1407262348
Name:SENIORINCARE
Entity Type:Organization
Organization Name:SENIORINCARE
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:C.E.O
Authorized Official - Prefix:
Authorized Official - First Name:MOHAMED
Authorized Official - Middle Name:
Authorized Official - Last Name:MAQBOOL
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:408-667-6950
Mailing Address - Street 1:4101 DUBLIN BLVD STE F-423
Mailing Address - Street 2:
Mailing Address - City:DUBLIN
Mailing Address - State:CA
Mailing Address - Zip Code:94568-4592
Mailing Address - Country:US
Mailing Address - Phone:408-667-6950
Mailing Address - Fax:925-261-3200
Practice Address - Street 1:4101 DUBLIN BLVD STE F-423
Practice Address - Street 2:
Practice Address - City:DUBLIN
Practice Address - State:CA
Practice Address - Zip Code:94568-4592
Practice Address - Country:US
Practice Address - Phone:408-667-6950
Practice Address - Fax:925-261-3200
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:ADULT MEDICARE, INC.
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2014-07-10
Last Update Date:2014-07-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health