Provider Demographics
NPI:1689943177
Name:SENIOR CLASS COMPANIES, LLC
Entity Type:Organization
Organization Name:SENIOR CLASS COMPANIES, LLC
Other - Org Name:THE SENIOR CLASS
Other - Org Type:Doing Business As
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MR
Authorized Official - First Name:EDWARD
Authorized Official - Middle Name:WELLS
Authorized Official - Last Name:CAULKINS
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:303-378-6225
Mailing Address - Street 1:5274 E MINERAL LN
Mailing Address - Street 2:
Mailing Address - City:CENTENNIAL
Mailing Address - State:CO
Mailing Address - Zip Code:80122-4016
Mailing Address - Country:US
Mailing Address - Phone:303-378-6225
Mailing Address - Fax:
Practice Address - Street 1:5274 E MINERAL LN
Practice Address - Street 2:
Practice Address - City:CENTENNIAL
Practice Address - State:CO
Practice Address - Zip Code:80122-4016
Practice Address - Country:US
Practice Address - Phone:303-378-6225
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2011-12-29
Last Update Date:2011-12-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health