Organization Active NPI

Senior Connections, Inc.

  • Non-emergency Medical Transport (VAN)
  • Superior, WI
National Provider Identifier
1083386312
Registry record updated Oct 5, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Non-emergency Medical Transport (VAN)Taxonomy code 343900000X
Legal business name
SENIOR CONNECTIONS, INC.
Practice address
1805 N 16TH St
Superior, WI 54880-2524
Phone
(715) 394-3611
NPI assigned
Oct 5, 2021
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 5, 2021

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

Authorized official

Name
Dale Johnson
Title
Executive Director
Phone
(715) 394-3611

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Non-emergency Medical Transport (VAN) 343900000X Primary

Addresses

Primary practice location

1805 N 16TH St
Superior, WI 54880-2524

Mailing address

1805 N 16TH St
Superior, WI 54880-2524

National Provider Directory

National Provider Directory

Locations

1805 N 16th St
Superior, WI 54880
Phone (715) 394-3611

NPI Registry JSON

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

{
    "created_epoch": "1633392000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1633392000000",
    "number": "1083386312",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1805 N 16TH ST",
            "city": "SUPERIOR",
            "state": "WI",
            "postal_code": "548802524"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1805 N 16TH ST",
            "city": "SUPERIOR",
            "state": "WI",
            "postal_code": "548802524",
            "telephone_number": "715-394-3611"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SENIOR CONNECTIONS, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-10-05",
        "last_updated": "2021-10-05",
        "certification_date": "2021-10-05",
        "status": "A",
        "authorized_official_last_name": "JOHNSON",
        "authorized_official_first_name": "DALE",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "715-394-3611"
    },
    "taxonomies": [
        {
            "code": "343900000X",
            "taxonomy_group": "",
            "desc": "Non-emergency Medical Transport (VAN)",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Superior, WI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 5, 2021; 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.