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NPI Code Detail

MEDICARE: SENIOR HOME CARE AGENCY

MEDICARE: SENIOR HOME CARE AGENCY
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
1251E00000XHome Health Agency

General Provider Information

NPI Number : 1881486678
Entity Type Code : Organization
Provider Name (Legal Business Name) : SENIOR HOME CARE AGENCY
Provider Business Mailing Address
First Line : 5 MEADOWS RUN DR
Second Line :
City : COLTS NECK
State : NJ
Zip : 07722-2213
Country : US
Telephone Number : 732-217-6775
Fax Number : 855-251-6625
Provider Business Practice Location Address
First Line : 1 MAIN ST STE 505
Second Line :
City : TINTON FALLS
State : NJ
Zip : 07724-3903
Country : US
Telephone Number : 732-217-6775
Fax Number : 855-251-6625
Authorized Official
Title or Position : OWNER
Name : SHAWNYA KING
Credential :
Telephone Number : 732-217-6775
Provider Enumeration Date : 05/19/2025
Last Update Date : 05/19/2025

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Directions to “SENIOR HOME CARE AGENCY ” Practice Location

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