Provider Demographics
NPI:1942692611
Name:TRUSTED SENIOR SERVICES, LLC
Entity Type:Organization
Organization Name:TRUSTED SENIOR SERVICES, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:ANGELA
Authorized Official - Middle Name:
Authorized Official - Last Name:JOHN
Authorized Official - Suffix:
Authorized Official - Credentials:MSW
Authorized Official - Phone:610-563-8899
Mailing Address - Street 1:143 CANDLEWYCK DR
Mailing Address - Street 2:
Mailing Address - City:AVONDALE
Mailing Address - State:PA
Mailing Address - Zip Code:19311-1436
Mailing Address - Country:US
Mailing Address - Phone:610-563-8899
Mailing Address - Fax:
Practice Address - Street 1:143 CANDLEWYCK DR
Practice Address - Street 2:
Practice Address - City:AVONDALE
Practice Address - State:PA
Practice Address - Zip Code:19311-1436
Practice Address - Country:US
Practice Address - Phone:610-563-8899
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2015-03-04
Last Update Date:2015-03-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PA26033601251B00000X, 251X00000X, 253Z00000X, 333300000X, 347C00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes253Z00000XAgenciesIn Home Supportive Care
No251B00000XAgenciesCase Management
No251X00000XAgenciesSupports Brokerage
No333300000XSuppliersEmergency Response System Companies
No347C00000XTransportation ServicesPrivate Vehicle