Active NPI
Timeless Senior Care,LLC.
- In Home Supportive Care Agency
- Meadville, PA
National Provider Identifier
1043681463
On this page
Key facts
NPPES NPI Registry- Primary specialty
- In Home Supportive Care Agency
- License
- 27743601
- Legal business name
- TIMELESS SENIOR CARE,LLC.
- Practice address
- 16343 Conneaut Lake Rd Ste 2
Meadville, PA 16335-3827 - Phone
- (814) 332-0053
- Fax
- (814) 332-0079
- NPI assigned
- Oct 12, 2015
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mrs. Lisa Marie Bailey
- Title
- Owner
- Phone
- (814) 332-0053
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| In Home Supportive Care Agency | 253Z00000X | 27743601 | PA | Primary |
Addresses
Primary practice location
16343 Conneaut Lake Rd Ste 2
Meadville, PA 16335-3827
Mailing address
16343 Conneaut Lake Rd Ste 2
Meadville, PA 16335-3827
Phone (814) 332-0053
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 27743601 | Other | PA | DEPT. OF HEALTH HCA LICENSE # |
Other names 1
- Home Instead Senior Care Franchise No. 800
National Provider Directory
National Provider DirectoryLocations
16343 Conneaut Lake Rd
Ste 2
Meadville, PA 16335
Phone (814) 332-0053
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1444608000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1444608000000",
"number": "1043681463",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "16343 CONNEAUT LAKE RD STE 2",
"city": "MEADVILLE",
"state": "PA",
"postal_code": "163353827",
"telephone_number": "814-332-0053",
"fax_number": "814-332-0079"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "16343 CONNEAUT LAKE RD STE 2",
"city": "MEADVILLE",
"state": "PA",
"postal_code": "163353827",
"telephone_number": "814-332-0053",
"fax_number": "814-332-0079"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "TIMELESS SENIOR CARE,LLC.",
"organizational_subpart": "NO",
"enumeration_date": "2015-10-12",
"last_updated": "2015-10-12",
"status": "A",
"authorized_official_last_name": "BAILEY",
"authorized_official_first_name": "LISA",
"authorized_official_middle_name": "MARIE",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "814-332-0053",
"authorized_official_name_prefix": "Mrs."
},
"taxonomies": [
{
"code": "253Z00000X",
"taxonomy_group": "",
"desc": "In Home Supportive Care",
"state": "PA",
"license": "27743601",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "DEPT. OF HEALTH HCA LICENSE #",
"identifier": "27743601",
"state": "PA"
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "Home Instead Senior Care Franchise No. 800",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Meadville, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 12, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.