Organization Active NPI

Timeless Senior Care,LLC.

  • In Home Supportive Care Agency
  • Meadville, PA
National Provider Identifier
1043681463
Registry record updated Oct 12, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
In Home Supportive Care AgencyTaxonomy code 253Z00000X
License
27743601 Issued in PA
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

Updated by the provider on Oct 12, 2015

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)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
27743601OtherPADEPT. OF HEALTH HCA LICENSE #

Other names 1

  • Home Instead Senior Care Franchise No. 800 Doing business as

National Provider Directory

National Provider Directory

Locations

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.

Verify at the official NPI Registry.