Provider Demographics
NPI:1477306942
Name:SILVER SEASONS HOMECARE LLC
Entity Type:Organization
Organization Name:SILVER SEASONS HOMECARE LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:ADMINISTRATOR
Authorized Official - Prefix:
Authorized Official - First Name:OLADAPO
Authorized Official - Middle Name:OYELAMI
Authorized Official - Last Name:HUNDOGAN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:907-202-4001
Mailing Address - Street 1:3307 OREGON DR APT A
Mailing Address - Street 2:
Mailing Address - City:ANCHORAGE
Mailing Address - State:AK
Mailing Address - Zip Code:99517-2044
Mailing Address - Country:US
Mailing Address - Phone:907-202-4001
Mailing Address - Fax:
Practice Address - Street 1:3307 OREGON DR APT A
Practice Address - Street 2:
Practice Address - City:ANCHORAGE
Practice Address - State:AK
Practice Address - Zip Code:99517-2044
Practice Address - Country:US
Practice Address - Phone:907-202-4001
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-04-08
Last Update Date:2024-04-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3104A0630XNursing & Custodial Care FacilitiesAssisted Living FacilityAssisted Living, Behavioral Disturbances