Provider Demographics
NPI:1518041102
Name:SENIORCARE ASSOCIATES LP
Entity Type:Organization
Organization Name:SENIORCARE ASSOCIATES LP
Other - Org Name:BAYLOR INSTITUTE FOR REHABILITATION HOME HEALTH SERVICES
Other - Org Type:Doing Business As
Authorized Official - Title/Position:PHYSICAL THERAPIST
Authorized Official - Prefix:MR
Authorized Official - First Name:SCOTT
Authorized Official - Middle Name:
Authorized Official - Last Name:BICKELHAUPT
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:972-691-3131
Mailing Address - Street 1:1241 CROSS TIMBERS RD
Mailing Address - Street 2:
Mailing Address - City:FLOWER MOUND
Mailing Address - State:TX
Mailing Address - Zip Code:75028-1272
Mailing Address - Country:US
Mailing Address - Phone:972-691-3131
Mailing Address - Fax:972-691-3151
Practice Address - Street 1:4714 GETTYSBURG RD
Practice Address - Street 2:
Practice Address - City:MECHANICSBURG
Practice Address - State:PA
Practice Address - Zip Code:17055-4325
Practice Address - Country:US
Practice Address - Phone:717-972-1100
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:BIR JV, LLP
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2006-10-24
Last Update Date:2016-02-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX009558251E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX457855Medicare Oscar/Certification