Provider Demographics
NPI:1659169639
Name:MODERN SENIOR CARE LLC
Entity type:Organization
Organization Name:MODERN SENIOR CARE LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:MS
Authorized Official - First Name:SULTANA
Authorized Official - Middle Name:AMEENA
Authorized Official - Last Name:BELL
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:410-258-2338
Mailing Address - Street 1:907 NOTTINGHAM RD APT 3B
Mailing Address - Street 2:
Mailing Address - City:BALTIMORE
Mailing Address - State:MD
Mailing Address - Zip Code:21229-1293
Mailing Address - Country:US
Mailing Address - Phone:410-258-2338
Mailing Address - Fax:
Practice Address - Street 1:907 NOTTINGHAM RD APT 3B
Practice Address - Street 2:
Practice Address - City:BALTIMORE
Practice Address - State:MD
Practice Address - Zip Code:21229-1293
Practice Address - Country:US
Practice Address - Phone:410-258-2338
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-04-29
Last Update Date:2025-04-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes374U00000XNursing Service Related ProvidersHome Health AideGroup - Single Specialty