Healthcare Provider Details

I. General information

NPI: 1265542765
Provider Name (Legal Business Name): SENIORCARE EMERGENCY MEDICAL SERVICES INC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/30/2006
Last Update Date: 07/06/2026
Certification Date: 07/06/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

700 HAVEMEYER AVE
BRONX NY
10473-1102
US

IV. Provider business mailing address

700 HAVEMEYER AVE
BRONX NY
10473-1102
US

V. Phone/Fax

Practice location:
  • Phone: 718-430-9700
  • Fax: 718-430-1528
Mailing address:
  • Phone: 718-430-9700
  • Fax: 718-430-1528

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code146L00000X
TaxonomyParamedic
License Number0751
License Number StateNY
# 2
Primary TaxonomyN
Taxonomy Code146N00000X
TaxonomyBasic Emergency Medical Technician
License Number0751
License Number StateNY
# 3
Primary TaxonomyN
Taxonomy Code341600000X
TaxonomyAmbulance
License Number
License Number State
# 4
Primary TaxonomyY
Taxonomy Code3416L0300X
TaxonomyLand Ambulance
License Number
License Number State

VIII. Authorized Official

Name: MR. MICHAEL VATCH
Title or Position: CEO
Credential: PARAMEDIC
Phone: 718-430-1525