Provider Demographics
NPI:1497323059
Name:SENIOR CITIZENS AIDES LLC
Entity Type:Organization
Organization Name:SENIOR CITIZENS AIDES LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:ADMINISTRATOR
Authorized Official - Prefix:MRS
Authorized Official - First Name:CYNTHIA
Authorized Official - Middle Name:
Authorized Official - Last Name:GETANEH
Authorized Official - Suffix:
Authorized Official - Credentials:RN
Authorized Official - Phone:703-687-7581
Mailing Address - Street 1:6032 REGENTS PARK RD
Mailing Address - Street 2:
Mailing Address - City:CENTREVILLE
Mailing Address - State:VA
Mailing Address - Zip Code:20120-1885
Mailing Address - Country:US
Mailing Address - Phone:736-867-7581
Mailing Address - Fax:
Practice Address - Street 1:6032 REGENTS PARK RD
Practice Address - Street 2:
Practice Address - City:CENTREVILLE
Practice Address - State:VA
Practice Address - Zip Code:20120-1885
Practice Address - Country:US
Practice Address - Phone:736-867-7581
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-06-10
Last Update Date:2021-06-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes253Z00000XAgenciesIn Home Supportive Care