Provider Demographics
NPI: | 1750502142 |
---|---|
Name: | SENIORSCOM CARE, INC |
Entity Type: | Organization |
Organization Name: | SENIORSCOM CARE, INC |
Other - Org Name: | ALL SEASON CARE, INC |
Other - Org Type: | Doing Business As |
Authorized Official - Title/Position: | ADMINISTRATOR |
Authorized Official - Prefix: | MR |
Authorized Official - First Name: | GODFREY |
Authorized Official - Middle Name: | OKECHUKWU |
Authorized Official - Last Name: | MERE |
Authorized Official - Suffix: | SR |
Authorized Official - Credentials: | LPN |
Authorized Official - Phone: | 1888-736-7577 |
Mailing Address - Street 1: | 2911 CRACKLING LEAVES AVE |
Mailing Address - Street 2: | |
Mailing Address - City: | NORTH LAS VEGAS |
Mailing Address - State: | NV |
Mailing Address - Zip Code: | 89031-0394 |
Mailing Address - Country: | US |
Mailing Address - Phone: | 188-873-6757 |
Mailing Address - Fax: | 188-873-6911 |
Practice Address - Street 1: | 50 HUGHES ST |
Practice Address - Street 2: | |
Practice Address - City: | MAPLEWOOD |
Practice Address - State: | NJ |
Practice Address - Zip Code: | 07040-3304 |
Practice Address - Country: | US |
Practice Address - Phone: | 188-873-6757 |
Practice Address - Fax: | 188-873-6911 |
EIN: | <UNAVAIL> |
Is Organization Subpart?: | No |
Parent Organization LBN: | |
Parent Organization TIN: | |
Enumeration Date: | 2007-05-01 |
Last Update Date: | 2022-07-21 |
Deactivation Date: | |
Deactivation Code: | |
Reactivation Date: |
Provider Licenses
State | License ID | Taxonomies |
---|---|---|
NJ | 251J00000X |
Provider Taxonomies
Primary? | Code | Type | Classification | Specialization |
---|---|---|---|---|
Yes | 251J00000X | Agencies | Nursing Care |