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SENIOR SUPPORT SERVICES INC. NPI 1811011562


NPI Information

NPI: 1811011562
Provider Name: SENIOR SUPPORT SERVICES, INC.
Classification: Specialist - 174400000X
Entity Type: Organization
Address:
2844 SUMMIT ST
212
OAKLAND, CA
ZIP 94609
Phone: (510) 638-3134
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SENIOR SUPPORT SERVICES, INC. is a specialist in Oakland, CA. The provider is an individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. SENIOR SUPPORT SERVICES, INC. NPI is 1811011562. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

2844 SUMMIT ST
212
OAKLAND, CA
ZIP 94609-637
Phone: (510) 638-3134
Fax: (510) 638-3134

The provider's authorized official is Phillip G Wright .
The authorized official title is President and has the following contact phone number (510) 638-3134.

The enumeration date for this NPI number is 3/19/2007 and was last updated on 4/8/2014.


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 CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1174400000XSpecialistG17389CALIFORNIAYes

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 IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
100G173892MEDICARE ID-TYPE UNSPECIFIEDCALIFORNIAINDIVIDUAL PROVIDER NUMBE
21396768883OTHERCALIFORNIAINDIVIDUAL NPI
3A40070MEDICARE UPIN
4ZZZ31985ZMEDICARE ID-TYPE UNSPECIFIEDCALIFORNIAGROUP NUMBER

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: 11/14/2023

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