Provider Demographics
NPI:1306487335
Name:SHS SENIOR SERVICES, LLC.
Entity type:Organization
Organization Name:SHS SENIOR SERVICES, LLC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:VICE PRESIDENT
Authorized Official - Prefix:MR
Authorized Official - First Name:KARL
Authorized Official - Middle Name:H
Authorized Official - Last Name:RALIAN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:262-225-7978
Mailing Address - Street 1:PO BOX 208
Mailing Address - Street 2:
Mailing Address - City:SUSSEX
Mailing Address - State:WI
Mailing Address - Zip Code:53089-0208
Mailing Address - Country:US
Mailing Address - Phone:262-225-7978
Mailing Address - Fax:
Practice Address - Street 1:N63W23524 SILVER SPRING DR
Practice Address - Street 2:
Practice Address - City:SUSSEX
Practice Address - State:WI
Practice Address - Zip Code:53089-3896
Practice Address - Country:US
Practice Address - Phone:262-225-7978
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2019-10-01
Last Update Date:2020-10-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes253Z00000XAgenciesIn Home Supportive Care