MEDICARE: SENIOR ASSIST CARE, INC.

Medicare Provider Information

Scope of Practice

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

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	251E00000X	Home Health Agency

General Provider Information

NPI Number	:	1528209186
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	SENIOR ASSIST CARE, INC.

Provider Business Mailing Address
First Line	:	4807 ROCKSIDE RD
Second Line	:	SUITE 400
City	:	INDEPENDENCE
State	:	OH
Zip	:	44131-2192
Country	:	US
Telephone Number	:	216-642-8210
Fax Number	:	888-502-3059

Provider Business Practice Location Address
First Line	:	4807 ROCKSIDE RD
Second Line	:	SUITE 400
City	:	INDEPENDENCE
State	:	OH
Zip	:	44131-2192
Country	:	US
Telephone Number	:	216-642-8210
Fax Number	:

Authorized Official
Title or Position	:	PRESIDENT/OWNER
Name	:	LARRY MASON
Credential	:
Telephone Number	:	216-642-8210

Provider Enumeration Date	:	03/11/2009
Last Update Date	:	04/13/2009

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