Provider Demographics
NPI:1477156420
Name:CAPENA SENIOR SERVICES LLC
Entity Type:Organization
Organization Name:CAPENA SENIOR SERVICES LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MR
Authorized Official - First Name:JEFFREY
Authorized Official - Middle Name:
Authorized Official - Last Name:JAUNICH
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:630-561-2739
Mailing Address - Street 1:140 N CLARA PL
Mailing Address - Street 2:
Mailing Address - City:ELMHURST
Mailing Address - State:IL
Mailing Address - Zip Code:60126-2930
Mailing Address - Country:US
Mailing Address - Phone:630-561-2739
Mailing Address - Fax:
Practice Address - Street 1:477 E BUTTERFIELD RD STE 202
Practice Address - Street 2:
Practice Address - City:LOMBARD
Practice Address - State:IL
Practice Address - Zip Code:60148-4879
Practice Address - Country:US
Practice Address - Phone:630-426-1356
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-11-20
Last Update Date:2020-11-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes253Z00000XAgenciesIn Home Supportive Care