Senior Healthcare, Llc

LBN: Senior Healthcare, Llc
Senior Healthcare, Llc is an health care organization with primary practice located at 2921 W 1St St , Coffeyville KS 67337-2441. The organization recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Gerontology, which is considered as the primary health care specialty. Senior Healthcare, Llc can be contacted via phone (620) 251-5190, or through Morton, Dana E via phone (316) 992-1591.

Contact Information

Primary practice address
2921 W 1St St Coffeyville KS 67337-2441
Phone: (620) 251-5190
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Morton, Dana E
Phone: (316) 992-1591

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Gerontology 364SG0600X 74308 Kansas

Profile Details

NPI number 1639454044
LBN Legal business name Senior Healthcare, Llc
DBA Doing business as
Authorized official Morton, Dana E
Entity Organization
Organization subpart 1 No
Enumeration date Oct 17th, 2011
Last updated Oct 17th, 2011 - about 14 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1639454044 NPPES
Kansas MEDICAID 100447400A

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