Senior Community Services

Primary specialty

Assisted Living FacilityTaxonomy code 310400000X

License

2157 Issued in NM

Legal business name

SENIOR COMMUNITY SERVICES

Practice address

200 Murray Dr
Clovis, NM 88101-4349

Phone

(505) 799-6162

NPI assigned

Sep 4, 2009

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Daniel J Stoddard

Title

Owner/President

Phone

(575) 763-8100

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1252022400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1252022400000",
    "number": "1033442272",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1148 BLUE HOLE RD",
            "city": "SANTA ROSA",
            "state": "NM",
            "postal_code": "884352546",
            "telephone_number": "575-472-2000"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "200 MURRAY DR",
            "city": "CLOVIS",
            "state": "NM",
            "postal_code": "881014349",
            "telephone_number": "505-799-6162"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SENIOR COMMUNITY SERVICES",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-09-04",
        "last_updated": "2009-09-04",
        "status": "A",
        "authorized_official_last_name": "STODDARD",
        "authorized_official_first_name": "DANIEL",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "OWNER/PRESIDENT",
        "authorized_official_telephone_number": "575-763-8100"
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": "NM",
            "license": "2157",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "92137822",
            "state": "NM"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Xondria Jennifer Self, PHARMD
• Lacy Ann Sena, CSW
• Michael Sena
• Rhiannon Laura Sena
• Senior Citizen Resident Center
• Linda Hill Sephus
• William I Sephus
• Adriana Renee Servin
• Jennifer A Settle
• Semana Marie Seukteoma, PHARMD

• Assisted Living Facility in Clovis, NM
• Providers in Clovis, NM by specialty
• Assisted Living Facility in New Mexico

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 4, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.