Provider Demographics
NPI:1437786274
Name:SILVER SERVANTS LLC
Entity Type:Organization
Organization Name:SILVER SERVANTS LLC
Other - Org Name:BRIGHTSTAR CARE OF CLAREMONT - SAN DIMAS
Other - Org Type:Doing Business As
Authorized Official - Title/Position:MEMBER / CO-MANAGER
Authorized Official - Prefix:MR
Authorized Official - First Name:JOSEPH
Authorized Official - Middle Name:J
Authorized Official - Last Name:COONEY
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:626-252-7262
Mailing Address - Street 1:333 E FOOTHILL BLVD
Mailing Address - Street 2:
Mailing Address - City:POMONA
Mailing Address - State:CA
Mailing Address - Zip Code:91767-1405
Mailing Address - Country:US
Mailing Address - Phone:626-850-0101
Mailing Address - Fax:
Practice Address - Street 1:333 E FOOTHILL BLVD
Practice Address - Street 2:
Practice Address - City:POMONA
Practice Address - State:CA
Practice Address - Zip Code:91767-1405
Practice Address - Country:US
Practice Address - Phone:626-252-7262
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-03-23
Last Update Date:2020-05-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes374U00000XNursing Service Related ProvidersHome Health AideGroup - Single Specialty
No251E00000XAgenciesHome HealthGroup - Single Specialty