Provider Demographics
NPI:1437745833
Name:STRATEGIC SENIOR SERVICES LLC
Entity type:Organization
Organization Name:STRATEGIC SENIOR SERVICES LLC
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:SUPERVISOR
Authorized Official - Prefix:
Authorized Official - First Name:SHANNA
Authorized Official - Middle Name:S
Authorized Official - Last Name:GILMORE
Authorized Official - Suffix:
Authorized Official - Credentials:HHA
Authorized Official - Phone:631-953-6637
Mailing Address - Street 1:PO BOX 202
Mailing Address - Street 2:
Mailing Address - City:CALVERTON
Mailing Address - State:NY
Mailing Address - Zip Code:11933-0202
Mailing Address - Country:US
Mailing Address - Phone:631-953-6637
Mailing Address - Fax:
Practice Address - Street 1:52 WOODED WAY
Practice Address - Street 2:
Practice Address - City:CALVERTON
Practice Address - State:NY
Practice Address - Zip Code:11933-9709
Practice Address - Country:US
Practice Address - Phone:631-603-2615
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-12-19
Last Update Date:2023-05-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes253Z00000XAgenciesIn Home Supportive Care