MEDICARE: SENIORITY HOME CARE AND STAFFING

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	:	1861047243
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	SENIORITY HOME CARE AND STAFFING

Provider Business Mailing Address
First Line	:	1084 SUNNY FIELD LN
Second Line	:
City	:	LAWRENCEVILLE
State	:	GA
Zip	:	30043-6702
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	3084 REVERE CT
Second Line	:
City	:	ATLANTA
State	:	GA
Zip	:	30340-2821
Country	:	US
Telephone Number	:	770-895-9210
Fax Number	:

Authorized Official
Title or Position	:	ADMINISTRATOR
Name	:	MS. DARRIS GREENFIELD
Credential	:
Telephone Number	:	770-895-9210

Provider Enumeration Date	:	08/02/2019
Last Update Date	:	03/22/2024

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Directions to “SENIORITY HOME CARE AND STAFFING ” Practice Location

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