Provider Demographics
NPI:1639227846
Name:SENIOR NURSING CARE SERVICES, INC.
Entity Type:Organization
Organization Name:SENIOR NURSING CARE SERVICES, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MR
Authorized Official - First Name:WASIM
Authorized Official - Middle Name:
Authorized Official - Last Name:IQBAL
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:269-408-0494
Mailing Address - Street 1:4066 RED ARROW HWY
Mailing Address - Street 2:SUITE A
Mailing Address - City:SAINT JOSEPH
Mailing Address - State:MI
Mailing Address - Zip Code:49085-9209
Mailing Address - Country:US
Mailing Address - Phone:269-408-0494
Mailing Address - Fax:269-408-0492
Practice Address - Street 1:4066 RED ARROW HWY
Practice Address - Street 2:SUITE A
Practice Address - City:SAINT JOSEPH
Practice Address - State:MI
Practice Address - Zip Code:49085-9209
Practice Address - Country:US
Practice Address - Phone:269-408-0494
Practice Address - Fax:269-408-0492
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-01-07
Last Update Date:2013-04-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
239004Medicare Oscar/Certification