1528310612 NPI number — SEN VENTURES LLC

Table of content: (NPI 1528310612)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1528310612 NPI number — SEN VENTURES LLC

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
SEN VENTURES LLC
Provider Last Name:
Provider First Name:
Provider Middle Name:
Provider Name Prefix Text:
Provider Name Suffix Text:
Provider Credential Text:
Provider Gender Code:

Provider's Other Name Information

Provider Other Organization Name:
SENICARE HOME HEALTH SERVICES
Provider Other Organization Name Type Code:
3
Provider Other Last Name:
Provider Other First Name:
Provider Other Middle Name:
Provider Other Name Prefix Text:
Provider Other Name Suffix Text:
Provider Other Credential Text:
Provider Other Last Name Type Code:

NPI Number Information

NPI Number:
1528310612
Entity Type Code:
Organization
Replacement NPI:
Last Update Date:
10/12/2012
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
14839 CUMBER LAND BRIDGE
Provider Second Line Business Mailing Address:
Provider Business Mailing Address City Name:
SUGARLAND
Provider Business Mailing Address State Name:
TX
Provider Business Mailing Address Postal Code:
77498
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
210-912-9123
Provider Business Mailing Address Fax Number:

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
2323 S VOSS RD STE 123A
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
HOUSTON
Provider Business Practice Location Address State Name:
TX
Provider Business Practice Location Address Postal Code:
77057-3834
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
713-783-2231
Provider Business Practice Location Address Fax Number:
Provider Enumeration Date:
10/12/2012

Additional Information

Authorized Official

Authorized Official Last Name:
TESCIFAI
Authorized Official First Name:
DANIEHL
Authorized Official Middle Name:
Authorized Official Title or Position:
CHIEF FIANCIAL OFFICE
Authorized Official Telephone Number:
713-783-2225

Provider Taxonomy Codes

  • Taxonomy code: 251E00000X , with the licence number:  013718 , registered in the state of TX ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

Other Provider's Identifiers (legacy, non-NPI)





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