Healthcare Provider Details

I. General information

NPI: 1437222700
Provider Name (Legal Business Name): SENIOR CONNECTIONS, INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 11/16/2006
Last Update Date: 09/11/2025
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

5238 PEACHTREE RD
CHAMBLEE GA
30341-2718
US

IV. Provider business mailing address

5238 PEACHTREE RD
CHAMBLEE GA
30341-2718
US

V. Phone/Fax

Practice location:
  • Phone: 770-455-7602
  • Fax: 770-455-8157
Mailing address:
  • Phone: 770-455-7602
  • Fax: 770-455-8157

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code332U00000X
TaxonomyHome Delivered Meals
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code3747P1801X
TaxonomyPersonal Care Attendant
License Number
License Number State
# 3
Primary TaxonomyN
Taxonomy Code374U00000X
TaxonomyHome Health Aide
License Number
License Number State
# 4
Primary TaxonomyN
Taxonomy Code376J00000X
TaxonomyHomemaker
License Number
License Number State
# 5
Primary TaxonomyN
Taxonomy Code376K00000X
TaxonomyNurse's Aide
License Number
License Number State

VIII. Authorized Official

Name: MS. BONNY L ROBICHAUD II
Title or Position: CFO
Credential:
Phone: 770-216-2571