Healthcare Provider Details

I. General information

NPI: 1013499888
Provider Name (Legal Business Name): SENIOR HOMECARE SERVICE & STAFFING
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/29/2018
Last Update Date: 08/29/2018
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1818 NEW YORK AVE NE STE 219
WASHINGTON DC
20002-1851
US

IV. Provider business mailing address

14324 RODERICK CT
MIDLOTHIAN VA
23113-6430
US

V. Phone/Fax

Practice location:
  • Phone: 804-334-0140
  • Fax:
Mailing address:
  • Phone: 143-432-7261
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code372600000X
TaxonomyAdult Companion
License Number
License Number State

VIII. Authorized Official

Name: MR. MOHAMED SHARIF
Title or Position: CEO
Credential:
Phone: 434-327-2611