Healthcare Provider Details

I. General information

NPI: 1982726626
Provider Name (Legal Business Name): SENIOR CITIZENS UNITED COMMUNITY SERVICES
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 04/04/2007
Last Update Date: 05/08/2025
Certification Date: 05/08/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

537 W NICHOLSON RD
AUDUBON NJ
08106-1970
US

IV. Provider business mailing address

537 W NICHOLSON RD
AUDUBON NJ
08106-1970
US

V. Phone/Fax

Practice location:
  • Phone: 856-456-1121
  • Fax: 856-547-2685
Mailing address:
  • Phone: 856-456-1121
  • Fax: 854-547-2685

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code311ZA0620X
TaxonomyAdult Care Home Facility
License Number157100
License Number StateNJ

VIII. Authorized Official

Name: MR. STEPHEN P CONSIDINE
Title or Position: CEO
Credential:
Phone: 856-456-1121