Provider Demographics
NPI:1194873679
Name:SENIORITY SOCIAL & ADULT DAY CARE, INC.
Entity type:Organization
Organization Name:SENIORITY SOCIAL & ADULT DAY CARE, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:ADMINISTRATOR
Authorized Official - Prefix:MRS
Authorized Official - First Name:SHARON
Authorized Official - Middle Name:LEIGH
Authorized Official - Last Name:OBER
Authorized Official - Suffix:
Authorized Official - Credentials:RN
Authorized Official - Phone:413-782-8008
Mailing Address - Street 1:16 ARNOLD AVE
Mailing Address - Street 2:
Mailing Address - City:SPRINGFIELD
Mailing Address - State:MA
Mailing Address - Zip Code:01119-1406
Mailing Address - Country:US
Mailing Address - Phone:413-782-8008
Mailing Address - Fax:413-782-8098
Practice Address - Street 1:16 ARNOLD AVE
Practice Address - Street 2:
Practice Address - City:SPRINGFIELD
Practice Address - State:MA
Practice Address - Zip Code:01119-1406
Practice Address - Country:US
Practice Address - Phone:413-782-8008
Practice Address - Fax:413-782-8098
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-01-08
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA1903187261QA0600X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QA0600XAmbulatory Health Care FacilitiesClinic/CenterAdult Day Care
Provider Identifiers
StateIdentifier IDID TypeIssuer
MA1903187Medicaid