Provider Demographics
NPI:1902199102
Name:SENESCENCE LLC
Entity Type:Organization
Organization Name:SENESCENCE LLC
Other - Org Name:ALL SAINTS HOSPICE
Other - Org Type:Doing Business As
Authorized Official - Title/Position:VP, CHIEF ADMINISTRATIVE OFFICER
Authorized Official - Prefix:
Authorized Official - First Name:DAWN
Authorized Official - Middle Name:HARVEY
Authorized Official - Last Name:PSARELLIS
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:504-324-8950
Mailing Address - Street 1:7406 HIGHWAY 1 STE 101
Mailing Address - Street 2:
Mailing Address - City:MANSURA
Mailing Address - State:LA
Mailing Address - Zip Code:71350-4204
Mailing Address - Country:US
Mailing Address - Phone:318-240-8515
Mailing Address - Fax:318-240-8516
Practice Address - Street 1:7406 HIGHWAY 1 STE 101
Practice Address - Street 2:
Practice Address - City:MANSURA
Practice Address - State:LA
Practice Address - Zip Code:71350-4204
Practice Address - Country:US
Practice Address - Phone:318-240-8515
Practice Address - Fax:318-240-8516
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:COMMCARE LOUISIANA
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2011-05-20
Last Update Date:2021-02-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251G00000XAgenciesHospice Care, Community Based