MEDICARE: THE SENIOR COMPANY LLC

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	253Z00000X	In Home Supportive Care Agency

General Provider Information

NPI Number	:	1841882644
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	THE SENIOR COMPANY LLC

Provider Business Mailing Address
First Line	:	4203 GRANITE SPRINGS DR
Second Line	:
City	:	COLUMBIA
State	:	MO
Zip	:	65203-7305
Country	:	US
Telephone Number	:	573-303-0460
Fax Number	:

Provider Business Practice Location Address
First Line	:	4203 GRANITE SPRINGS DR
Second Line	:
City	:	COLUMBIA
State	:	MO
Zip	:	65203-7305
Country	:	US
Telephone Number	:	573-303-0460
Fax Number	:

Authorized Official
Title or Position	:	PRESIDENT
Name	:	MRS. JILL SARTAIN
Credential	:
Telephone Number	:	314-898-2633

Provider Enumeration Date	:	02/03/2021
Last Update Date	:	02/03/2021

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