Provider Demographics
NPI:1417409822
Name:PREFERRED SENIOR CARE SERVICES LLC
Entity Type:Organization
Organization Name:PREFERRED SENIOR CARE SERVICES LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:ADMINISTRATOR
Authorized Official - Prefix:
Authorized Official - First Name:SIEGFRIED
Authorized Official - Middle Name:
Authorized Official - Last Name:MAXION
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:510-258-2367
Mailing Address - Street 1:24301 SOUTHLAND DR STE 214H
Mailing Address - Street 2:
Mailing Address - City:HAYWARD
Mailing Address - State:CA
Mailing Address - Zip Code:94545-1546
Mailing Address - Country:US
Mailing Address - Phone:510-576-1211
Mailing Address - Fax:888-818-6255
Practice Address - Street 1:24301 SOUTHLAND DR STE 214H
Practice Address - Street 2:
Practice Address - City:HAYWARD
Practice Address - State:CA
Practice Address - Zip Code:94545-1546
Practice Address - Country:US
Practice Address - Phone:510-576-1211
Practice Address - Fax:888-818-6255
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2016-11-02
Last Update Date:2016-11-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes253Z00000XAgenciesIn Home Supportive Care