MEDICARE: SENIOR CARE CENTERS OF AMERICA, 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	385H00000X	Respite Care	080470	NJ
2	261QA0600X	Adult Day Care Clinic/Center

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
2	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1760519870
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	SENIOR CARE CENTERS OF AMERICA, INC.

Provider Business Mailing Address
First Line	:	6 NESHAMINY INTERPLEX
Second Line	:	SUITE 401
City	:	TREVOSE
State	:	PA
Zip	:	19053-6964
Country	:	US
Telephone Number	:	215-642-6600
Fax Number	:	215-642-6610

Provider Business Practice Location Address
First Line	:	1361 CHEWS LANDING RD
Second Line	:
City	:	LAUREL SPRINGS
State	:	NJ
Zip	:	08021-2760
Country	:	US
Telephone Number	:	856-784-4000
Fax Number	:	856-302-5755

Authorized Official
Title or Position	:	CONTRACTS MANAGER
Name	:	DEBORA HOCKENBURY
Credential	:
Telephone Number	:	215-642-6600

Provider Enumeration Date	:	02/27/2007
Last Update Date	:	01/23/2019

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