Provider Demographics
NPI:1649593674
Name:A-1 SENIOR CARE SERVICES
Entity Type:Organization
Organization Name:A-1 SENIOR CARE SERVICES
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER/ADMINISTRATOR
Authorized Official - Prefix:MS
Authorized Official - First Name:CASSANDRA
Authorized Official - Middle Name:
Authorized Official - Last Name:ADAMS
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:830-632-9801
Mailing Address - Street 1:1928 S SEGUIN AVE
Mailing Address - Street 2:SUITE 104
Mailing Address - City:NEW BRAUNFELS
Mailing Address - State:TX
Mailing Address - Zip Code:78130-3910
Mailing Address - Country:US
Mailing Address - Phone:830-632-9801
Mailing Address - Fax:830-632-9835
Practice Address - Street 1:1928 S SEGUIN AVE
Practice Address - Street 2:SUITE 104
Practice Address - City:NEW BRAUNFELS
Practice Address - State:TX
Practice Address - Zip Code:78130-3910
Practice Address - Country:US
Practice Address - Phone:830-632-9801
Practice Address - Fax:830-632-9835
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2010-03-04
Last Update Date:2011-03-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX251E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX013611OtherTEXAS DADS LICENSE NUMBER