MEDICARE: SENIOR HOUSING SERVICES INC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	343900000X	Non-emergency Medical Transport (VAN)

General Provider Information

NPI Number	:	1154105294
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	SENIOR HOUSING SERVICES INC

Provider Business Mailing Address
First Line	:	5625 ELLIOT CIR
Second Line	:
City	:	MC CALLA
State	:	AL
Zip	:	35111-3295
Country	:	US
Telephone Number	:	205-218-6814
Fax Number	:	888-769-3109

Provider Business Practice Location Address
First Line	:	6424 OLD TUSCALOOSA HWY
Second Line	:
City	:	MC CALLA
State	:	AL
Zip	:	35111-3606
Country	:	US
Telephone Number	:	205-477-9866
Fax Number	:	888-769-3109

Authorized Official
Title or Position	:	OPERATIONS MANAGER
Name	:	MS. SUSAN STANDBERRY
Credential	:
Telephone Number	:	205-218-6814

Provider Enumeration Date	:	08/21/2023
Last Update Date	:	08/30/2023

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