Healthcare Provider Details

I. General information

NPI: 1750502142
Provider Name (Legal Business Name): SENIORSCOM CARE, INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/01/2007
Last Update Date: 07/21/2022
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

50 HUGHES ST
MAPLEWOOD NJ
07040-3304
US

IV. Provider business mailing address

2911 CRACKLING LEAVES AVE
NORTH LAS VEGAS NV
89031-0394
US

V. Phone/Fax

Practice location:
  • Phone: 188-873-6757
  • Fax: 188-873-6911
Mailing address:
  • Phone: 188-873-6757
  • Fax: 188-873-6911

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code251J00000X
TaxonomyNursing Care Agency
License Number
License Number StateNJ

VIII. Authorized Official

Name: MR. GODFREY OKECHUKWU MERE SR.
Title or Position: ADMINISTRATOR
Credential: LPN
Phone: 18887367577