Provider Demographics
NPI:1427451871
Name:SENIOR LINKS HOME CARE AGENCY
Entity type:Organization
Organization Name:SENIOR LINKS HOME CARE AGENCY
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:ONER
Authorized Official - Prefix:MISS
Authorized Official - First Name:JULIET
Authorized Official - Middle Name:FAY
Authorized Official - Last Name:JONES
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:631-264-9636
Mailing Address - Street 1:535 PORT RICHMOND AVE
Mailing Address - Street 2:
Mailing Address - City:STATEN ISLAND
Mailing Address - State:NY
Mailing Address - Zip Code:10302-1720
Mailing Address - Country:US
Mailing Address - Phone:631-264-9636
Mailing Address - Fax:718-815-1600
Practice Address - Street 1:535 PORT RICHMOND AVE
Practice Address - Street 2:
Practice Address - City:STATEN ISLAND
Practice Address - State:NY
Practice Address - Zip Code:10302-1720
Practice Address - Country:US
Practice Address - Phone:631-264-9636
Practice Address - Fax:718-815-1600
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2014-09-30
Last Update Date:2014-09-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health