Provider Demographics
NPI:1821123050
Name:SENIORS' RESOURCE CENTER, INC.
Entity Type:Organization
Organization Name:SENIORS' RESOURCE CENTER, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:
Authorized Official - First Name:CHRIS
Authorized Official - Middle Name:
Authorized Official - Last Name:LYNN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:303-235-6935
Mailing Address - Street 1:3227 CHASE ST
Mailing Address - Street 2:
Mailing Address - City:WHEAT RIDGE
Mailing Address - State:CO
Mailing Address - Zip Code:80212-7033
Mailing Address - Country:US
Mailing Address - Phone:303-238-8151
Mailing Address - Fax:303-235-6955
Practice Address - Street 1:3227 CHASE ST
Practice Address - Street 2:
Practice Address - City:WHEAT RIDGE
Practice Address - State:CO
Practice Address - Zip Code:80212-7033
Practice Address - Country:US
Practice Address - Phone:303-238-8151
Practice Address - Fax:303-235-6955
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-02-21
Last Update Date:2021-02-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CO04000899251E00000X, 261QA0600X, 343900000X
CO06000764347E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes343900000XTransportation ServicesNon-emergency Medical Transport (VAN)
Yes251E00000XAgenciesHome Health
No261QA0600XAmbulatory Health Care FacilitiesClinic/CenterAdult Day Care
No347E00000XTransportation ServicesTransportation Broker