Provider Demographics
NPI:1659491751
Name:RESOURCES FOR SENIORS, INC
Entity Type:Organization
Organization Name:RESOURCES FOR SENIORS, INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MR
Authorized Official - First Name:DAVID
Authorized Official - Middle Name:
Authorized Official - Last Name:COTTENGIM
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:919-713-1521
Mailing Address - Street 1:1110 NAVAHO DR
Mailing Address - Street 2:SUITE 400
Mailing Address - City:RALEIGH
Mailing Address - State:NC
Mailing Address - Zip Code:27609-7352
Mailing Address - Country:US
Mailing Address - Phone:919-713-1521
Mailing Address - Fax:
Practice Address - Street 1:1110 NAVAHO DR
Practice Address - Street 2:SUITE 400
Practice Address - City:RALEIGH
Practice Address - State:NC
Practice Address - Zip Code:27609-7352
Practice Address - Country:US
Practice Address - Phone:919-713-1521
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-03-30
Last Update Date:2013-09-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
171M00000X, 251B00000X, 261QA0600X, 332B00000X
NCHC0760253Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes171M00000XOther Service ProvidersCase Manager/Care CoordinatorGroup - Multi-Specialty
No251B00000XAgenciesCase Management
No253Z00000XAgenciesIn Home Supportive Care
No261QA0600XAmbulatory Health Care FacilitiesClinic/CenterAdult Day Care
No332B00000XSuppliersDurable Medical Equipment & Medical SuppliesGroup - Multi-Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
NC3408008Medicaid