Provider Demographics
NPI:1982740742
Name:SENIOR CITIZENS SERVICES OF NORTH TEXAS, INC
Entity Type:Organization
Organization Name:SENIOR CITIZENS SERVICES OF NORTH TEXAS, INC
Other - Org Name:RED DOOR; MEALS ON WHEELS; ADULT DAY CARE
Other - Org Type:Doing Business As
Authorized Official - Title/Position:CHAIR BOARD OF DIRECTORS
Authorized Official - Prefix:MR
Authorized Official - First Name:BOB
Authorized Official - Middle Name:
Authorized Official - Last Name:BALCH
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:940-696-2967
Mailing Address - Street 1:1008 BURNETT ST
Mailing Address - Street 2:PO BOX 1655
Mailing Address - City:WICHITA FALLS
Mailing Address - State:TX
Mailing Address - Zip Code:76307-1655
Mailing Address - Country:US
Mailing Address - Phone:940-322-6232
Mailing Address - Fax:940-322-1751
Practice Address - Street 1:1008 BURNETT ST
Practice Address - Street 2:
Practice Address - City:WICHITA FALLS
Practice Address - State:TX
Practice Address - Zip Code:76301-3210
Practice Address - Country:US
Practice Address - Phone:940-322-6232
Practice Address - Fax:940-322-1751
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-01-29
Last Update Date:2022-07-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX14251V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251V00000XAgenciesVoluntary or Charitable
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX000153200OtherMEALS ON WHEELS
TX000303000OtherADULT DAY CARE SERVICES
TX001012864OtherMEALS ON WHEELS