Provider Demographics
NPI:1184277683
Name:COMMON SENSE SERVICES FOR SENIORS
Entity type:Organization
Organization Name:COMMON SENSE SERVICES FOR SENIORS
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CO-DIRECTORS
Authorized Official - Prefix:
Authorized Official - First Name:GLORIA OR KIM
Authorized Official - Middle Name:
Authorized Official - Last Name:NEMETZ OR GALLES
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:651-552-0288
Mailing Address - Street 1:6415 CARMEN AVE
Mailing Address - Street 2:
Mailing Address - City:INVER GROVE HEIGHTS
Mailing Address - State:MN
Mailing Address - Zip Code:55076-4428
Mailing Address - Country:US
Mailing Address - Phone:651-552-0288
Mailing Address - Fax:651-552-0192
Practice Address - Street 1:6415 CARMEN AVE
Practice Address - Street 2:
Practice Address - City:INVER GROVE HEIGHTS
Practice Address - State:MN
Practice Address - Zip Code:55076-4428
Practice Address - Country:US
Practice Address - Phone:651-552-0288
Practice Address - Fax:651-552-0192
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2019-07-23
Last Update Date:2019-07-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QA0600XAmbulatory Health Care FacilitiesClinic/CenterAdult Day Care