Healthcare Provider Details

I. General information

NPI: 1326630138
Provider Name (Legal Business Name): SENIORCARE SERVICES, LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 02/03/2021
Last Update Date: 05/31/2023
Certification Date: 05/31/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1011 E TOUHY AVE STE 170B
DES PLAINES IL
60018-5802
US

IV. Provider business mailing address

3010 LYNDON B JOHNSON FWY STE 1100
DALLAS TX
75234-2712
US

V. Phone/Fax

Practice location:
  • Phone: 773-509-1355
  • Fax: 773-539-4655
Mailing address:
  • Phone: 800-379-1600
  • Fax: 903-537-8420

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code251E00000X
TaxonomyHome Health Agency
License Number
License Number State

VIII. Authorized Official

Name: KATIE MONASTIERE
Title or Position: SENIOR VICE PRESIDENT OF COMPLIANCE
Credential:
Phone: 800-379-1600