SENIOR HEALTHCARE LLC NPI 1639454044

NPI Information

NPI: 1639454044
Provider Name: SENIOR HEALTHCARE, LLC
Classification: Clinical Nurse Specialist - 364SG0600X
Entity Type: Organization

Specialization: Gerontology

Address:
2921 W 1ST ST
COFFEYVILLE, KS
ZIP 67337
Phone: (620) 251-5190
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SENIOR HEALTHCARE, LLC is a gerontology clinical nurse specialist in Coffeyville, KS. SENIOR HEALTHCARE, LLC NPI is 1639454044. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

2921 W 1ST ST
COFFEYVILLE, KS
ZIP 67337-441
Phone: (620) 251-5190

The provider's authorized official is Dana E Morton .
The authorized official title is Arnp and has the following contact phone number (316) 992-1591.

The enumeration date for this NPI number is 10/17/2011 and was last updated on 10/17/2011.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	364SG0600X	Clinical Nurse Specialist	Gerontology	74308	KANSAS	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	R31612	MEDICARE UPIN	KANSAS
2	100447400A	MEDICAID	KANSAS

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

NPI Synchronization or Removal

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