Healthcare Provider Details

I. General information

NPI: 1518951128
Provider Name (Legal Business Name): SENIOR CARE SERVICE LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 09/09/2005
Last Update Date: 10/31/2025
Certification Date: 10/31/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

565 S COMMERCIAL DR
GRAND JUNCTION CO
81505-6900
US

IV. Provider business mailing address

1055 WESTGATE DR STE 100
SAINT PAUL MN
55114-1451
US

V. Phone/Fax

Practice location:
  • Phone: 970-812-0811
  • Fax: 800-880-6549
Mailing address:
  • Phone: 800-651-6223
  • Fax: 866-896-7171

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code332B00000X
TaxonomyDurable Medical Equipment & Medical Supplies
License Number02542390000
License Number StateCO
# 2
Primary TaxonomyN
Taxonomy Code332BP3500X
TaxonomyParenteral & Enteral Nutrition Supplies (DME)
License Number
License Number State

VIII. Authorized Official

Name: DARRELL DOUGLAS RAWLINGS
Title or Position: CEO
Credential:
Phone: 612-895-7815