Provider Demographics
NPI:1750711784
Name:SENIOR CARE SERVICES, LLC
Entity type:Organization
Organization Name:SENIOR CARE SERVICES, LLC
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MR
Authorized Official - First Name:DANIEL
Authorized Official - Middle Name:JOSEPH
Authorized Official - Last Name:CHITWOOD
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:502-419-8240
Mailing Address - Street 1:7224 FOX HARBOR RD
Mailing Address - Street 2:
Mailing Address - City:PROSPECT
Mailing Address - State:KY
Mailing Address - Zip Code:40059-8601
Mailing Address - Country:US
Mailing Address - Phone:502-265-5848
Mailing Address - Fax:502-416-0304
Practice Address - Street 1:9900 CORPORATE CAMPUS DR
Practice Address - Street 2:SUITE 3000
Practice Address - City:LOUISVILLE
Practice Address - State:KY
Practice Address - Zip Code:40223-4050
Practice Address - Country:US
Practice Address - Phone:502-265-5848
Practice Address - Fax:502-416-0304
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2013-11-12
Last Update Date:2013-11-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KY500139253Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes253Z00000XAgenciesIn Home Supportive Care