Provider Demographics
NPI:1245021948
Name:SENIOR CITIZENS HOMECARE LLC
Entity type:Organization
Organization Name:SENIOR CITIZENS HOMECARE LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DIRECTOR
Authorized Official - Prefix:MS
Authorized Official - First Name:EMMA
Authorized Official - Middle Name:NKIROTE
Authorized Official - Last Name:NTONGAI
Authorized Official - Suffix:I
Authorized Official - Credentials:
Authorized Official - Phone:206-775-1587
Mailing Address - Street 1:622 47TH ST SE
Mailing Address - Street 2:
Mailing Address - City:EVERETT
Mailing Address - State:WA
Mailing Address - Zip Code:98203-2745
Mailing Address - Country:US
Mailing Address - Phone:206-775-1587
Mailing Address - Fax:
Practice Address - Street 1:622 47TH ST SE
Practice Address - Street 2:
Practice Address - City:EVERETT
Practice Address - State:WA
Practice Address - Zip Code:98203-2745
Practice Address - Country:US
Practice Address - Phone:206-775-1587
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-05-14
Last Update Date:2025-05-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health