Provider Demographics
NPI:1720359128
Name:SENIOR HOME CARE
Entity Type:Organization
Organization Name:SENIOR HOME CARE
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CONTROLLER
Authorized Official - Prefix:
Authorized Official - First Name:LUIS
Authorized Official - Middle Name:
Authorized Official - Last Name:CALPO
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:212-372-7500
Mailing Address - Street 1:305 W END AVE
Mailing Address - Street 2:
Mailing Address - City:NEW YORK
Mailing Address - State:NY
Mailing Address - Zip Code:10023-8157
Mailing Address - Country:US
Mailing Address - Phone:212-372-7500
Mailing Address - Fax:212-444-1191
Practice Address - Street 1:305 W END AVE
Practice Address - Street 2:
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10023-8157
Practice Address - Country:US
Practice Address - Phone:212-372-7500
Practice Address - Fax:212-392-9241
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2012-01-18
Last Update Date:2013-04-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY9388L001251E00000X
NY9388L002251E00000X
NY9388L003251E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health