Organization Active NPI

Senior Citizen Services

  • Community/Behavioral Health Agency
  • Atlanta, GA
National Provider Identifier
1083874689
Registry record updated Jun 17, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
License
2648LEX Issued in GA
Legal business name
SENIOR CITIZEN SERVICES
Practice address
1705 Commerce Dr NW
Atlanta, GA 30318-3107
Phone
(404) 351-3889
Fax
(404) 352-0595
NPI assigned
Jun 17, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 17, 2008

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

Authorized official

Name
Mr. Jeff Smythe
Title
Executive Director
Phone
(404) 351-3889

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Behavioral Health Agency 251S00000X 2648LEX GA Primary

Addresses

Primary practice location

1705 Commerce Dr NW
Atlanta, GA 30318-3107

Mailing address

1705 Commerce Dr NW
Atlanta, GA 30318-3107
Phone (404) 351-3889

National Provider Directory

National Provider Directory
Tax ID family
Meals on Wheels Atlanta3 organizations share this tax ID, including this one

Other organizations with this tax ID 2

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

NPI Registry JSON

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

{
    "created_epoch": "1213660800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1213660800000",
    "number": "1083874689",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1705 COMMERCE DR NW",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303183107",
            "telephone_number": "404-351-3889",
            "fax_number": "404-352-0595"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1705 COMMERCE DR NW",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303183107",
            "telephone_number": "404-351-3889",
            "fax_number": "404-352-0595"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SENIOR CITIZEN SERVICES",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-06-17",
        "last_updated": "2008-06-17",
        "status": "A",
        "authorized_official_last_name": "SMYTHE",
        "authorized_official_first_name": "JEFF",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "404-351-3889",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "GA",
            "license": "2648LEX",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Atlanta, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 17, 2008; 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.