Provider Demographics
NPI:1336880418
Name:HEALTH SENIOR CARE SERVICES INC
Entity Type:Organization
Organization Name:HEALTH SENIOR CARE SERVICES INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MRS
Authorized Official - First Name:YAHAIRA
Authorized Official - Middle Name:L
Authorized Official - Last Name:CONDE
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:939-279-0056
Mailing Address - Street 1:1428 AVE SAN IGNACIO
Mailing Address - Street 2:
Mailing Address - City:SAN JUAN
Mailing Address - State:PR
Mailing Address - Zip Code:00921-4719
Mailing Address - Country:US
Mailing Address - Phone:939-279-0056
Mailing Address - Fax:
Practice Address - Street 1:1428 AVE SAN IGNACIO
Practice Address - Street 2:
Practice Address - City:SAN JUAN
Practice Address - State:PR
Practice Address - Zip Code:00921-4719
Practice Address - Country:US
Practice Address - Phone:939-279-0056
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-04-05
Last Update Date:2022-04-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health