Healthcare Provider Details
I. General information
NPI: 1043216005
Provider Name (Legal Business Name): SENIOR HEALTHSERVICES INC
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 06/24/2005
Last Update Date: 11/03/2015
Certification Date:
Deactivation Date:
Reactivation Date:
III. Provider practice location address
102 N KEEL RIDGE RD
HERMITAGE PA
16148-3440
US
IV. Provider business mailing address
102 N KEEL RIDGE RD
HERMITAGE PA
16148-3440
US
V. Phone/Fax
- Phone: 800-471-8592
- Fax:
- Phone: 800-471-8592
- Fax:
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | N |
| Taxonomy Code | 152W00000X |
| Taxonomy | Optometrist |
| License Number | |
| License Number State | |
| # 2 | |
| Primary Taxonomy | N |
| Taxonomy Code | 207Q00000X |
| Taxonomy | Family Medicine Physician |
| License Number | |
| License Number State | |
| # 3 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 208D00000X |
| Taxonomy | General Practice Physician |
| License Number | |
| License Number State | |
| # 4 | |
| Primary Taxonomy | N |
| Taxonomy Code | 213E00000X |
| Taxonomy | Podiatrist |
| License Number | |
| License Number State | |
| # 5 | |
| Primary Taxonomy | N |
| Taxonomy Code | 213ES0103X |
| Taxonomy | Foot & Ankle Surgery Podiatrist |
| License Number | |
| License Number State | |
| # 6 | |
| Primary Taxonomy | N |
| Taxonomy Code | 231H00000X |
| Taxonomy | Audiologist |
| License Number | |
| License Number State | |
| # 7 | |
| Primary Taxonomy | N |
| Taxonomy Code | 237600000X |
| Taxonomy | Audiologist-Hearing Aid Fitter |
| License Number | |
| License Number State | |
| # 8 | |
| Primary Taxonomy | N |
| Taxonomy Code | 335E00000X |
| Taxonomy | Prosthetic/Orthotic Supplier |
| License Number | |
| License Number State | PA |
VIII. Authorized Official
Name:
MICHAEL
CHRISTIAN
ARMSTRONG
Title or Position: CEO/OWNER
Credential: MD, MHSA
Phone: 800-471-8592