NPIMap

Organization Active NPI

Seniorserv, Inc.

  • Case Management Agency
  • Anaheim, CA
National Provider Identifier
1043553142
Registry record updated Mar 27, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Case Management AgencyTaxonomy code 251B00000X
License
06000244 Issued in CA
Legal business name
SENIORSERV, INC.
Practice address
1200 N Knollwood Cir
Anaheim, CA 92801-1309
Phone
(714) 220-0224
NPI assigned
Mar 27, 2013
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 27, 2013

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

Authorized official

Name
Holly Hagler
Title
Ceo
Phone
(714) 220-0224

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Case Management Agency 251B00000X 06000244 CA Primary

Addresses

Primary practice location

1200 N Knollwood Cir
Anaheim, CA 92801-1309

Mailing address

1200 N Knollwood Cir
Anaheim, CA 92801-1309

Other identifiers 1

IdentifierTypeStateIssuer
CT-0912-0018OtherCADEPARTMENT OF HEALTH & HUMAN SERVICES CMS

Other names 1

  • Community SeniorServ, Inc. Other name

National Provider Directory

National Provider Directory
Tax ID family
Community Seniorserv Inc5 organizations share this tax ID, including this one

Other organizations with this tax ID 4

Organizations that report the same tax identification number in the National Provider Directory.

Locations

1200 N Knollwood Cir
Anaheim, CA 92801
Phone (714) 220-0224

NPI Registry JSON

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

{
    "created_epoch": "1364342400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1364342400000",
    "number": "1043553142",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1200 N KNOLLWOOD CIR",
            "city": "ANAHEIM",
            "state": "CA",
            "postal_code": "928011309"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1200 N KNOLLWOOD CIR",
            "city": "ANAHEIM",
            "state": "CA",
            "postal_code": "928011309",
            "telephone_number": "714-220-0224"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SENIORSERV, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-03-27",
        "last_updated": "2013-03-27",
        "status": "A",
        "authorized_official_last_name": "HAGLER",
        "authorized_official_first_name": "HOLLY",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "714-220-0224"
    },
    "taxonomies": [
        {
            "code": "251B00000X",
            "taxonomy_group": "",
            "desc": "Case Management",
            "state": "CA",
            "license": "06000244",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "DEPARTMENT OF HEALTH & HUMAN SERVICES CMS",
            "identifier": "CT-0912-0018",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Community SeniorServ, Inc.",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Anaheim, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 27, 2013; 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.