Provider Demographics
NPI:1972187151
Name:SENIORS ROCK INC.
Entity Type:Organization
Organization Name:SENIORS ROCK INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MR
Authorized Official - First Name:RICHARD
Authorized Official - Middle Name:WILLIAM
Authorized Official - Last Name:CSEAK
Authorized Official - Suffix:JR
Authorized Official - Credentials:CSA
Authorized Official - Phone:303-777-7870
Mailing Address - Street 1:2480 S DOWNING ST STE 204
Mailing Address - Street 2:
Mailing Address - City:DENVER
Mailing Address - State:CO
Mailing Address - Zip Code:80210-5881
Mailing Address - Country:US
Mailing Address - Phone:303-777-7870
Mailing Address - Fax:303-777-7889
Practice Address - Street 1:2480 S DOWNING ST STE 204
Practice Address - Street 2:
Practice Address - City:DENVER
Practice Address - State:CO
Practice Address - Zip Code:80210-5881
Practice Address - Country:US
Practice Address - Phone:303-777-7870
Practice Address - Fax:303-777-7889
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-05-12
Last Update Date:2021-05-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes253Z00000XAgenciesIn Home Supportive Care