Provider Demographics
NPI:1427595347
Name:SENIOR LIFE SOLUTIONS, INC.
Entity Type:Organization
Organization Name:SENIOR LIFE SOLUTIONS, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MRS
Authorized Official - First Name:SANDRA
Authorized Official - Middle Name:
Authorized Official - Last Name:TINKLE
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:630-209-4338
Mailing Address - Street 1:1807 S WASHINGTON ST
Mailing Address - Street 2:SUITE 110-361
Mailing Address - City:NAPERVILLE
Mailing Address - State:IL
Mailing Address - Zip Code:60565-2446
Mailing Address - Country:US
Mailing Address - Phone:630-474-0849
Mailing Address - Fax:
Practice Address - Street 1:1728 CLYDE DR
Practice Address - Street 2:
Practice Address - City:NAPERVILLE
Practice Address - State:IL
Practice Address - Zip Code:60565-2302
Practice Address - Country:US
Practice Address - Phone:630-474-0849
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2017-01-30
Last Update Date:2017-01-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL3001434253Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes253Z00000XAgenciesIn Home Supportive Care