Provider Demographics
NPI:1396059564
Name:SENIORSOLUTIONS HOUSECALLS LLC
Entity type:Organization
Organization Name:SENIORSOLUTIONS HOUSECALLS LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:MARY
Authorized Official - Middle Name:RETA
Authorized Official - Last Name:FIELDSMITH
Authorized Official - Suffix:
Authorized Official - Credentials:NP
Authorized Official - Phone:214-232-3471
Mailing Address - Street 1:1001 GLENDA ST
Mailing Address - Street 2:
Mailing Address - City:TERRELL
Mailing Address - State:TX
Mailing Address - Zip Code:75160-5013
Mailing Address - Country:US
Mailing Address - Phone:214-232-3471
Mailing Address - Fax:972-563-7395
Practice Address - Street 1:1001 GLENDA STREET
Practice Address - Street 2:
Practice Address - City:TERRELL
Practice Address - State:TX
Practice Address - Zip Code:75160-5013
Practice Address - Country:US
Practice Address - Phone:214-232-3471
Practice Address - Fax:972-563-7395
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2010-07-30
Last Update Date:2010-08-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX604243261QH0100X
363L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes363L00000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerGroup - Multi-Specialty
No261QH0100XAmbulatory Health Care FacilitiesClinic/CenterHealth Service