Provider Demographics
NPI:1912707522
Name:SENIOR CENTER DAYCARE, INC.
Entity type:Organization
Organization Name:SENIOR CENTER DAYCARE, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:MAISOUN
Authorized Official - Middle Name:
Authorized Official - Last Name:FARHOUD
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:708-299-6543
Mailing Address - Street 1:10606 AUSTIN AVE
Mailing Address - Street 2:
Mailing Address - City:CHICAGO RIDGE
Mailing Address - State:IL
Mailing Address - Zip Code:60415-1911
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:10606 AUSTIN AVE
Practice Address - Street 2:
Practice Address - City:CHICAGO RIDGE
Practice Address - State:IL
Practice Address - Zip Code:60415-1911
Practice Address - Country:US
Practice Address - Phone:708-299-6543
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-03-14
Last Update Date:2025-03-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes372600000XNursing Service Related ProvidersAdult CompanionGroup - Single Specialty