Senior Services Plus

Primary specialty

In Home Supportive Care AgencyTaxonomy code 253Z00000X

License

2046967 Issued in IL

Legal business name

SENIOR SERVICES PLUS

Practice address

2603 N Rodgers Ave
Alton, IL 62002-5524

Phone

(618) 462-1391

Fax

(618) 462-7658

NPI assigned

Jun 6, 2012

Last updated

Aug 8, 2013By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Theresa L. Collins

Title

Director, CCP

Phone

(618) 462-1391

Specialties & licenses 2

Addresses

Other identifiers 1

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Jacob Wayne Shaw, A.S, A.A.S, CPT

  • Health Educator
  • Alton, IL
  • NPI 1558914457
  NPD (past)

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

{
    "created_epoch": "1338940800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1375920000000",
    "number": "1063773935",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2603 N. RODGERS AVENUE",
            "city": "ALTON",
            "state": "IL",
            "postal_code": "62002",
            "telephone_number": "618-462-1391",
            "fax_number": "618-462-7658"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2603 N RODGERS AVE",
            "city": "ALTON",
            "state": "IL",
            "postal_code": "620025524",
            "telephone_number": "618-462-1391",
            "fax_number": "618-462-7658"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SENIOR SERVICES PLUS",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-06-06",
        "last_updated": "2013-08-08",
        "status": "A",
        "authorized_official_last_name": "COLLINS",
        "authorized_official_first_name": "THERESA",
        "authorized_official_middle_name": "L.",
        "authorized_official_title_or_position": "DIRECTOR, CCP",
        "authorized_official_telephone_number": "618-462-1391"
    },
    "taxonomies": [
        {
            "code": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive Care",
            "state": "IL",
            "license": "2046967",
            "primary": true
        },
        {
            "code": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive Care",
            "state": "MO",
            "license": "0012622",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0012622",
            "state": "MO"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Jennifer Sedlacek, FNP-C, PMHNP-BC
• Carrie Ann Seehausen, MA, LCPC
• James E Segrist, M.D.
• Lorraine Rosenthal Seiffert, ACNP
• Stacy Seitz, LCPC
• Da Hea Seo, MD
• Winnie Shaba, MD
• Mohini N Shah, OTR/L
• Parth Shah, MD
• Sudha Shah

• In Home Supportive Care Agency in Alton, IL
• Providers in Alton, IL by specialty
• In Home Supportive Care Agency in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 8, 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.