Provider Demographics
NPI:1437575032
Name:SENIOR HOME CARE SERVICES, INC.
Entity Type:Organization
Organization Name:SENIOR HOME CARE SERVICES, INC.
Other - Org Name:HOME INSTEAD SENIOR CARE
Other - Org Type:Doing Business As
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MR
Authorized Official - First Name:DENNIS
Authorized Official - Middle Name:E
Authorized Official - Last Name:WADE
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:615-859-2380
Mailing Address - Street 1:1100 TED A CROZIER SR BLVD STE D
Mailing Address - Street 2:
Mailing Address - City:CLARKSVILLE
Mailing Address - State:TN
Mailing Address - Zip Code:37043-8912
Mailing Address - Country:US
Mailing Address - Phone:931-648-7800
Mailing Address - Fax:931-436-2118
Practice Address - Street 1:114 N MAIN ST
Practice Address - Street 2:
Practice Address - City:GOODLETTSVILLE
Practice Address - State:TN
Practice Address - Zip Code:37072-1555
Practice Address - Country:US
Practice Address - Phone:615-859-2380
Practice Address - Fax:615-851-9652
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2014-03-07
Last Update Date:2014-03-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TNL000000013922253Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes253Z00000XAgenciesIn Home Supportive Care