Provider Demographics
NPI:1336986769
Name:WNY SENIOR CARE LLC
Entity type:Organization
Organization Name:WNY SENIOR CARE LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:JAMES
Authorized Official - Middle Name:
Authorized Official - Last Name:SORGE
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:716-815-3174
Mailing Address - Street 1:4764 N FRENCH RD
Mailing Address - Street 2:
Mailing Address - City:EAST AMHERST
Mailing Address - State:NY
Mailing Address - Zip Code:14051-2176
Mailing Address - Country:US
Mailing Address - Phone:716-815-3174
Mailing Address - Fax:
Practice Address - Street 1:4764 N FRENCH RD
Practice Address - Street 2:
Practice Address - City:EAST AMHERST
Practice Address - State:NY
Practice Address - Zip Code:14051-2176
Practice Address - Country:US
Practice Address - Phone:716-815-3174
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-07-12
Last Update Date:2024-07-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes253Z00000XAgenciesIn Home Supportive Care