Provider Demographics
NPI:1437485471
Name:SENIOR HEALTH VENTURES LLC
Entity Type:Organization
Organization Name:SENIOR HEALTH VENTURES LLC
Other - Org Name:SENIOR HELPERS
Other - Org Type:Doing Business As
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MR
Authorized Official - First Name:KEVIN
Authorized Official - Middle Name:
Authorized Official - Last Name:HERMAN
Authorized Official - Suffix:
Authorized Official - Credentials:MSPT
Authorized Official - Phone:610-789-4700
Mailing Address - Street 1:737 W CHESTER PIKE
Mailing Address - Street 2:SUITE 5
Mailing Address - City:HAVERTOWN
Mailing Address - State:PA
Mailing Address - Zip Code:19083-4441
Mailing Address - Country:US
Mailing Address - Phone:610-789-4700
Mailing Address - Fax:610-789-4701
Practice Address - Street 1:737 W CHESTER PIKE
Practice Address - Street 2:SUITE 5
Practice Address - City:HAVERTOWN
Practice Address - State:PA
Practice Address - Zip Code:19083-4441
Practice Address - Country:US
Practice Address - Phone:610-789-4700
Practice Address - Fax:610-789-4701
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2009-10-27
Last Update Date:2010-02-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes253Z00000XAgenciesIn Home Supportive Care
Provider Identifiers
StateIdentifier IDID TypeIssuer
PA10903601OtherHOME CARE AGENCY LICENSE
PA102241294 0001Medicaid