Provider Demographics
NPI:1669920922
Name:SENIOR CARING SERVICES, INC.
Entity type:Organization
Organization Name:SENIOR CARING SERVICES, INC.
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:AGENCY DIRECTOR
Authorized Official - Prefix:
Authorized Official - First Name:CARISSA
Authorized Official - Middle Name:
Authorized Official - Last Name:DALENBERG
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:630-333-9262
Mailing Address - Street 1:136 W VALLETTE ST
Mailing Address - Street 2:SUITE 5
Mailing Address - City:ELMHURST
Mailing Address - State:IL
Mailing Address - Zip Code:60126-4377
Mailing Address - Country:US
Mailing Address - Phone:630-333-9262
Mailing Address - Fax:630-832-5206
Practice Address - Street 1:136 W VALLETTE ST
Practice Address - Street 2:SUITE 5
Practice Address - City:ELMHURST
Practice Address - State:IL
Practice Address - Zip Code:60126-4377
Practice Address - Country:US
Practice Address - Phone:630-333-9262
Practice Address - Fax:630-832-5206
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2016-09-15
Last Update Date:2016-09-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL30000960253Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes253Z00000XAgenciesIn Home Supportive Care