Healthcare Provider Details

I. General information

NPI: 1164559209
Provider Name (Legal Business Name): SENIOR CARE CENTERS OF AMERICA, INC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 02/27/2007
Last Update Date: 08/22/2020
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

607 S WHITE HORSE PIKE
AUDUBON NJ
08106-1314
US

IV. Provider business mailing address

7 NESHAMINY INTERPLEX SUITE 403
TREVOSE PA
19053
US

V. Phone/Fax

Practice location:
  • Phone: 856-546-0005
  • Fax: 856-546-2890
Mailing address:
  • Phone: 215-642-6600
  • Fax: 215-642-6610

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code385H00000X
TaxonomyRespite Care
License Number080180
License Number StateNJ

VIII. Authorized Official

Name: MR. CRAIG O MEHNERT
Title or Position: CFO
Credential:
Phone: 215-642-6600