Healthcare Provider Details

I. General information

NPI: 1235615170
Provider Name (Legal Business Name): SENIORCARE COMPANIONS, INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/13/2018
Last Update Date: 07/13/2018
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

152 ISLIP AVE SUITE 25
ISLIP NY
11751
US

IV. Provider business mailing address

152 ISLIP AVE SUITE 25
ISLIP NY
11751
US

V. Phone/Fax

Practice location:
  • Phone: 631-581-9000
  • Fax: 631-277-4311
Mailing address:
  • Phone: 631-581-9000
  • Fax: 631-277-4311

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code251E00000X
TaxonomyHome Health Agency
License Number
License Number StateNY
# 2
Primary TaxonomyN
Taxonomy Code253Z00000X
TaxonomyIn Home Supportive Care Agency
License Number
License Number State
# 3
Primary TaxonomyN
Taxonomy Code376J00000X
TaxonomyHomemaker
License Number95044618000117
License Number StateNY

VIII. Authorized Official

Name: DR. BERNHARD JOHN SENGSTOCK
Title or Position: PRESIDENT
Credential: DC
Phone: 631-581-9000