Provider Demographics
| NPI: | 1770694374 |
|---|---|
| Name: | SENIOR HEALTH CARE ASSOCIATES, PC |
| Entity type: | Organization |
| Organization Name: | SENIOR HEALTH CARE ASSOCIATES, PC |
| Other - Org Name: | |
| Other - Org Type: | |
| Authorized Official - Title/Position: | OWNER |
| Authorized Official - Prefix: | DR |
| Authorized Official - First Name: | ERIC |
| Authorized Official - Middle Name: | |
| Authorized Official - Last Name: | BARON |
| Authorized Official - Suffix: | |
| Authorized Official - Credentials: | MD |
| Authorized Official - Phone: | 248-559-3400 |
| Mailing Address - Street 1: | 24100 SOUTHFIELD RD |
| Mailing Address - Street 2: | SUITE 200 |
| Mailing Address - City: | SOUTHFIELD |
| Mailing Address - State: | MI |
| Mailing Address - Zip Code: | 48075-2819 |
| Mailing Address - Country: | US |
| Mailing Address - Phone: | 248-559-3400 |
| Mailing Address - Fax: | 248-557-5580 |
| Practice Address - Street 1: | 24100 SOUTHFIELD RD |
| Practice Address - Street 2: | SUITE 200 |
| Practice Address - City: | SOUTHFIELD |
| Practice Address - State: | MI |
| Practice Address - Zip Code: | 48075-2819 |
| Practice Address - Country: | US |
| Practice Address - Phone: | 248-559-3400 |
| Practice Address - Fax: | 248-557-5580 |
| EIN: | <UNAVAIL> |
| Is Organization Subpart?: | No |
| Parent Organization LBN: | |
| Parent Organization TIN: | |
| Enumeration Date: | 2006-08-31 |
| Last Update Date: | 2020-08-22 |
| Deactivation Date: | |
| Deactivation Code: | |
| Reactivation Date: |
Provider Taxonomies
| Primary? | Code | Type | Classification | Specialization | Group |
|---|---|---|---|---|---|
| Yes | 207RG0300X | Allopathic & Osteopathic Physicians | Internal Medicine | Geriatric Medicine | Group - Multi-Specialty |