Provider Demographics
NPI:1750951208
Name:SENIOR HELPERS
Entity type:Organization
Organization Name:SENIOR HELPERS
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:MARIE
Authorized Official - Middle Name:
Authorized Official - Last Name:YOUNGBLOOD
Authorized Official - Suffix:
Authorized Official - Credentials:PHD
Authorized Official - Phone:281-316-6006
Mailing Address - Street 1:1100 GULF FWY S STE 110
Mailing Address - Street 2:
Mailing Address - City:LEAGUE CITY
Mailing Address - State:TX
Mailing Address - Zip Code:77573-5148
Mailing Address - Country:US
Mailing Address - Phone:281-704-6644
Mailing Address - Fax:281-346-9958
Practice Address - Street 1:1100 GULF FWY S STE 110
Practice Address - Street 2:
Practice Address - City:LEAGUE CITY
Practice Address - State:TX
Practice Address - Zip Code:77573-5148
Practice Address - Country:US
Practice Address - Phone:281-704-6644
Practice Address - Fax:281-346-9958
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-06-28
Last Update Date:2023-05-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes3747P1801XNursing Service Related ProvidersTechnicianPersonal Care AttendantGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX4013690Medicaid