Provider Demographics
NPI:1174051080
Name:CONSOLIDATED SENIOR CARE
Entity type:Organization
Organization Name:CONSOLIDATED SENIOR CARE
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MR
Authorized Official - First Name:JEFFREY
Authorized Official - Middle Name:A
Authorized Official - Last Name:MAGG
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:864-423-2420
Mailing Address - Street 1:3551B HIGHWAY 51
Mailing Address - Street 2:
Mailing Address - City:FORT MILL
Mailing Address - State:SC
Mailing Address - Zip Code:29715-8350
Mailing Address - Country:US
Mailing Address - Phone:803-792-4277
Mailing Address - Fax:
Practice Address - Street 1:3551B HIGHWAY 51
Practice Address - Street 2:
Practice Address - City:FORT MILL
Practice Address - State:SC
Practice Address - Zip Code:29715-8350
Practice Address - Country:US
Practice Address - Phone:803-792-4277
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2017-05-23
Last Update Date:2022-07-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
SC201318251300000X
251E00000X, 251J00000X, 251V00000X, 251X00000X, 253Z00000X, 251B00000X
SC17369319251K00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251B00000XAgenciesCase Management
No251300000XAgenciesLocal Education Agency (LEA)
No251E00000XAgenciesHome Health
No251J00000XAgenciesNursing Care
No251K00000XAgenciesPublic Health or Welfare
No251V00000XAgenciesVoluntary or Charitable
No251X00000XAgenciesSupports Brokerage
No253Z00000XAgenciesIn Home Supportive Care