Provider Demographics
NPI:1992719991
Name:SENIOR QUALITY CARE, INC.
Entity type:Organization
Organization Name:SENIOR QUALITY CARE, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MR
Authorized Official - First Name:VAN
Authorized Official - Middle Name:D
Authorized Official - Last Name:TUCKER
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:336-368-4430
Mailing Address - Street 1:PO BOX 1514
Mailing Address - Street 2:
Mailing Address - City:PILOT MOUNTAIN
Mailing Address - State:NC
Mailing Address - Zip Code:27041-1514
Mailing Address - Country:US
Mailing Address - Phone:336-368-4430
Mailing Address - Fax:336-368-1300
Practice Address - Street 1:633 S. KEY ST.
Practice Address - Street 2:
Practice Address - City:PILOT MOUNTAIN
Practice Address - State:NC
Practice Address - Zip Code:27041
Practice Address - Country:US
Practice Address - Phone:336-368-4430
Practice Address - Fax:336-368-1300
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-07-28
Last Update Date:2023-05-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes3747P1801XNursing Service Related ProvidersTechnicianPersonal Care AttendantGroup - Multi-Specialty
No253Z00000XAgenciesIn Home Supportive CareGroup - Multi-Specialty