Provider Demographics
NPI:1629286802
Name:SENIOR SERVICES HOMECARE INC.
Entity Type:Organization
Organization Name:SENIOR SERVICES HOMECARE INC.
Other - Org Name:COMMUNITY LINK
Other - Org Type:Doing Business As
Authorized Official - Title/Position:EXECUTIVE DIRECTOR
Authorized Official - Prefix:MISS
Authorized Official - First Name:BONNIE
Authorized Official - Middle Name:ANN
Authorized Official - Last Name:YOPP
Authorized Official - Suffix:
Authorized Official - Credentials:ANP
Authorized Official - Phone:518-563-7129
Mailing Address - Street 1:450 SALMON RIVER RD
Mailing Address - Street 2:
Mailing Address - City:PLATTSBURGH
Mailing Address - State:NY
Mailing Address - Zip Code:12901-7631
Mailing Address - Country:US
Mailing Address - Phone:518-563-7129
Mailing Address - Fax:518-561-2849
Practice Address - Street 1:450 SALMON RIVER RD
Practice Address - Street 2:
Practice Address - City:PLATTSBURGH
Practice Address - State:NY
Practice Address - Zip Code:12901-7631
Practice Address - Country:US
Practice Address - Phone:518-563-7129
Practice Address - Fax:518-561-2849
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-05-19
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261Q00000XAmbulatory Health Care FacilitiesClinic/Center