Provider Demographics
NPI:1497338297
Name:SENIOR CARE BEHAVIORAL HEALTH ASSOCIATES, LLC
Entity Type:Organization
Organization Name:SENIOR CARE BEHAVIORAL HEALTH ASSOCIATES, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:AUTHORIZED OFFICIAL
Authorized Official - Prefix:
Authorized Official - First Name:JOSEPH
Authorized Official - Middle Name:
Authorized Official - Last Name:CILONE
Authorized Official - Suffix:JR
Authorized Official - Credentials:
Authorized Official - Phone:330-565-1097
Mailing Address - Street 1:5741 SHIELDS RD STE B
Mailing Address - Street 2:
Mailing Address - City:CANFIELD
Mailing Address - State:OH
Mailing Address - Zip Code:44406-9814
Mailing Address - Country:US
Mailing Address - Phone:330-565-1097
Mailing Address - Fax:
Practice Address - Street 1:48444 BELL SCHOOL RD
Practice Address - Street 2:
Practice Address - City:CALCUTTA
Practice Address - State:OH
Practice Address - Zip Code:43920-9646
Practice Address - Country:US
Practice Address - Phone:330-385-7100
Practice Address - Fax:330-385-8434
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-04-30
Last Update Date:2021-10-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes363LP0808XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPsychiatric/Mental HealthGroup - Multi-Specialty
No103TA0700XBehavioral Health & Social Service ProvidersPsychologistAdult Development & AgingGroup - Multi-Specialty