Provider Demographics
NPI:1255950762
Name:SENIORS CARE SERVICES LLC
Entity type:Organization
Organization Name:SENIORS CARE SERVICES LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:ALTER.ADM
Authorized Official - Prefix:
Authorized Official - First Name:SUJA
Authorized Official - Middle Name:
Authorized Official - Last Name:KURIAN
Authorized Official - Suffix:
Authorized Official - Credentials:MBBS,MBA
Authorized Official - Phone:214-584-7077
Mailing Address - Street 1:539 W COMMERCE ST STE 197
Mailing Address - Street 2:
Mailing Address - City:DALLAS
Mailing Address - State:TX
Mailing Address - Zip Code:75208-1953
Mailing Address - Country:US
Mailing Address - Phone:888-567-2041
Mailing Address - Fax:
Practice Address - Street 1:539 W COMMERCE ST STE 197
Practice Address - Street 2:
Practice Address - City:DALLAS
Practice Address - State:TX
Practice Address - Zip Code:75208-1953
Practice Address - Country:US
Practice Address - Phone:888-567-2041
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-04-14
Last Update Date:2020-04-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes253Z00000XAgenciesIn Home Supportive Care