Provider Demographics
NPI:1518559293
Name:SENIOR MEDICAL SERVICES LLC
Entity Type:Organization
Organization Name:SENIOR MEDICAL SERVICES LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:NICHOLAS
Authorized Official - Middle Name:
Authorized Official - Last Name:KILLILEA
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:603-459-8534
Mailing Address - Street 1:5 PINE STREET EXT UNIT 2Q
Mailing Address - Street 2:
Mailing Address - City:NASHUA
Mailing Address - State:NH
Mailing Address - Zip Code:03060-3248
Mailing Address - Country:US
Mailing Address - Phone:603-459-8534
Mailing Address - Fax:
Practice Address - Street 1:5 PINE STREET EXT UNIT 2Q
Practice Address - Street 2:
Practice Address - City:NASHUA
Practice Address - State:NH
Practice Address - Zip Code:03060-3248
Practice Address - Country:US
Practice Address - Phone:603-459-8534
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-02-04
Last Update Date:2021-02-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332B00000XSuppliersDurable Medical Equipment & Medical Supplies