MEDICARE: SENIOR CARE MANAGEMENT LLC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy
1	372600000X	Adult Companion
2	376J00000X	Homemaker
3	253Z00000X	In Home Supportive Care Agency

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	HCH0000160	OTHER	CT	DEPT OF CONSUMER PROTECTI
2	4229060	OTHER	CT	CT COMMUNITY CARE

General Provider Information

NPI Number	:	1427259571
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	SENIOR CARE MANAGEMENT LLC

Provider Business Mailing Address
First Line	:	101 MERRITT BOULEVARD
Second Line	:	SUITE 22
City	:	TRUMBULL
State	:	CT
Zip	:	06611-5450
Country	:	US
Telephone Number	:	203-386-1151
Fax Number	:	203-386-1251

Provider Business Practice Location Address
First Line	:	101 MERRITT BOULEVARD
Second Line	:	SUITE 22
City	:	TRUMBULL
State	:	CT
Zip	:	06611-5450
Country	:	US
Telephone Number	:	203-386-1151
Fax Number	:	203-386-1251

Authorized Official
Title or Position	:	PRESIDENT & FRANCHISE OWNER
Name	:	MRS. SHARON M. MASSAFRA
Credential	:
Telephone Number	:	203-386-1151

Provider Enumeration Date	:	05/29/2007
Last Update Date	:	05/09/2024

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