Provider Demographics
NPI:1730670035
Name:SENIORADE LIMITED LIABILITY COMPANY
Entity Type:Organization
Organization Name:SENIORADE LIMITED LIABILITY COMPANY
Other - Org Name:SENIORADE
Other - Org Type:Doing Business As
Authorized Official - Title/Position:OWNER/PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:HANIEH
Authorized Official - Middle Name:
Authorized Official - Last Name:MARENGO
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:214-892-9082
Mailing Address - Street 1:205 CREEKSIDE DR
Mailing Address - Street 2:
Mailing Address - City:MURPHY
Mailing Address - State:TX
Mailing Address - Zip Code:75094-4328
Mailing Address - Country:US
Mailing Address - Phone:214-892-9082
Mailing Address - Fax:
Practice Address - Street 1:205 CREEKSIDE DR
Practice Address - Street 2:
Practice Address - City:MURPHY
Practice Address - State:TX
Practice Address - Zip Code:75094-4328
Practice Address - Country:US
Practice Address - Phone:214-892-9082
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2018-05-22
Last Update Date:2018-05-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes253Z00000XAgenciesIn Home Supportive Care