Provider Demographics
NPI:1306147392
Name:SENIOR PERSONAL CARE LLC
Entity type:Organization
Organization Name:SENIOR PERSONAL CARE LLC
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:ADMINISTRATOR
Authorized Official - Prefix:
Authorized Official - First Name:VINIL
Authorized Official - Middle Name:
Authorized Official - Last Name:PATEL
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:972-930-7999
Mailing Address - Street 1:5301 VILLAGE CREEK DR
Mailing Address - Street 2:SUITE A
Mailing Address - City:PLANO
Mailing Address - State:TX
Mailing Address - Zip Code:75093-4838
Mailing Address - Country:US
Mailing Address - Phone:972-930-7999
Mailing Address - Fax:972-930-7966
Practice Address - Street 1:5301 VILLAGE CREEK DR
Practice Address - Street 2:SUITE A
Practice Address - City:PLANO
Practice Address - State:TX
Practice Address - Zip Code:75093-4838
Practice Address - Country:US
Practice Address - Phone:972-930-7999
Practice Address - Fax:972-930-7966
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2010-11-08
Last Update Date:2015-03-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health