Provider Demographics
NPI:1639722473
Name:SENIOR LIVING CAREGIVERS, LLC
Entity Type:Organization
Organization Name:SENIOR LIVING CAREGIVERS, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:SAMSON
Authorized Official - Middle Name:
Authorized Official - Last Name:AWOH
Authorized Official - Suffix:
Authorized Official - Credentials:OTR/L
Authorized Official - Phone:713-232-9131
Mailing Address - Street 1:10103 FONDREN RD STE 290
Mailing Address - Street 2:
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77096-4653
Mailing Address - Country:US
Mailing Address - Phone:713-244-4380
Mailing Address - Fax:
Practice Address - Street 1:10103 FONDREN RD STE 290
Practice Address - Street 2:
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77096-4653
Practice Address - Country:US
Practice Address - Phone:713-244-4380
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2019-07-22
Last Update Date:2019-07-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes253Z00000XAgenciesIn Home Supportive Care