Provider Demographics
NPI:1154105294
Name:SENIOR HOUSING SERVICES INC
Entity type:Organization
Organization Name:SENIOR HOUSING SERVICES INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OPERATIONS MANAGER
Authorized Official - Prefix:MS
Authorized Official - First Name:SUSAN
Authorized Official - Middle Name:
Authorized Official - Last Name:STANDBERRY
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:205-218-6814
Mailing Address - Street 1:5625 ELLIOT CIR
Mailing Address - Street 2:
Mailing Address - City:MC CALLA
Mailing Address - State:AL
Mailing Address - Zip Code:35111-3295
Mailing Address - Country:US
Mailing Address - Phone:205-218-6814
Mailing Address - Fax:888-769-3109
Practice Address - Street 1:6424 OLD TUSCALOOSA HWY
Practice Address - Street 2:
Practice Address - City:MC CALLA
Practice Address - State:AL
Practice Address - Zip Code:35111-3606
Practice Address - Country:US
Practice Address - Phone:205-477-9866
Practice Address - Fax:888-769-3109
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-08-21
Last Update Date:2023-08-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes343900000XTransportation ServicesNon-emergency Medical Transport (VAN)