Provider Demographics
NPI:1407938988
Name:SENIOR CARE SOLUTIONS
Entity Type:Organization
Organization Name:SENIOR CARE SOLUTIONS
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER, ADMINISTRATOR AND CLINICIAN
Authorized Official - Prefix:MS
Authorized Official - First Name:DIANE
Authorized Official - Middle Name:MARIE
Authorized Official - Last Name:KESSELER
Authorized Official - Suffix:
Authorized Official - Credentials:LCSW
Authorized Official - Phone:281-795-3598
Mailing Address - Street 1:6230 BILLINSGATE DRIVE
Mailing Address - Street 2:
Mailing Address - City:KATY
Mailing Address - State:TX
Mailing Address - Zip Code:77449-8448
Mailing Address - Country:US
Mailing Address - Phone:281-795-3598
Mailing Address - Fax:281-550-2933
Practice Address - Street 1:6230 BILLINSGATE DR
Practice Address - Street 2:
Practice Address - City:KATY
Practice Address - State:TX
Practice Address - Zip Code:77449-8448
Practice Address - Country:US
Practice Address - Phone:281-795-3598
Practice Address - Fax:281-550-2933
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-10-20
Last Update Date:2008-07-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX15405251E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX610872Medicare ID - Type UnspecifiedHEALTHCARE