Provider Demographics
NPI:1386924462
Name:SENIOR HOSPICE CARE,LTD
Entity type:Organization
Organization Name:SENIOR HOSPICE CARE,LTD
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DIRECTOR
Authorized Official - Prefix:
Authorized Official - First Name:ROGER
Authorized Official - Middle Name:A
Authorized Official - Last Name:BRUHN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:918-894-3487
Mailing Address - Street 1:1214 E 33RD ST
Mailing Address - Street 2:
Mailing Address - City:TULSA
Mailing Address - State:OK
Mailing Address - Zip Code:74105-2018
Mailing Address - Country:US
Mailing Address - Phone:918-894-3487
Mailing Address - Fax:918-712-9880
Practice Address - Street 1:900 S FRONTAGE RD
Practice Address - Street 2:SUITE 130
Practice Address - City:WOODRIDGE
Practice Address - State:IL
Practice Address - Zip Code:60517-4903
Practice Address - Country:US
Practice Address - Phone:630-226-1306
Practice Address - Fax:630-226-1384
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2011-08-22
Last Update Date:2013-09-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251G00000XAgenciesHospice Care, Community Based