Healthcare Provider Details

I. General information

NPI: 1821123050
Provider Name (Legal Business Name): SENIORS' RESOURCE CENTER, INC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 02/21/2007
Last Update Date: 02/01/2021
Certification Date: 02/01/2021
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3227 CHASE ST
WHEAT RIDGE CO
80212-7033
US

IV. Provider business mailing address

3227 CHASE ST
WHEAT RIDGE CO
80212-7033
US

V. Phone/Fax

Practice location:
  • Phone: 303-238-8151
  • Fax: 303-235-6955
Mailing address:
  • Phone: 303-238-8151
  • Fax: 303-235-6955

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code261QA0600X
TaxonomyAdult Day Care Clinic/Center
License Number04000899
License Number StateCO
# 2
Primary TaxonomyY
Taxonomy Code251E00000X
TaxonomyHome Health Agency
License Number04000899
License Number StateCO

VIII. Authorized Official

Name: CHRIS LYNN
Title or Position: CEO
Credential:
Phone: 303-235-6935