MEDICARE: SENIORTOPCARE 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	:	1881444651
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	SENIORTOPCARE LLC

Provider Business Mailing Address
First Line	:	11802 SANDPIPER BROOK LN
Second Line	:
City	:	LOUISVILLE
State	:	KY
Zip	:	40229-6543
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	11802 SANDPIPER BROOK LN
Second Line	:
City	:	LOUISVILLE
State	:	KY
Zip	:	40229-6543
Country	:	US
Telephone Number	:	502-709-2565
Fax Number	:

Authorized Official
Title or Position	:	OWNER/PRESIDENT
Name	:	VIANNEY SAMATUNGO
Credential	:
Telephone Number	:	502-709-2565

Provider Enumeration Date	:	03/25/2024
Last Update Date	:	02/04/2026

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Directions to “SENIORTOPCARE LLC ” Practice Location

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