Active NPI
Larsen Senior Care LLC
- In Home Supportive Care Agency
- Media, PA
National Provider Identifier
1124327655
On this page
Key facts
NPPES NPI Registry- Primary specialty
- In Home Supportive Care Agency
- License
- 11333601
- Legal business name
- LARSEN SENIOR CARE LLC
- Practice address
- 600 N Jackson St
Suite 200
Media, PA 19063-2561 - Phone
- (610) 565-8901
- Fax
- (610) 565-8905
- NPI assigned
- Mar 23, 2011
- 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
- Mr. James Edward Larsen
- Title
- Owner
- Phone
- (610) 565-8901
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| In Home Supportive Care Agency | 253Z00000X | 11333601 | PA | Primary |
Addresses
Primary practice location
600 N Jackson St
Suite 200
Media, PA 19063-2561
Mailing address
600 N Jackson St
Suite 200
Media, PA 19063-2561
Phone (610) 565-8901
Other names 1
- Home Instead Senior Care #472
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1300838400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1300838400000",
"number": "1124327655",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "600 N JACKSON ST",
"address_2": "SUITE 200",
"city": "MEDIA",
"state": "PA",
"postal_code": "190632561",
"telephone_number": "610-565-8901",
"fax_number": "610-565-8905"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "600 N JACKSON ST",
"address_2": "SUITE 200",
"city": "MEDIA",
"state": "PA",
"postal_code": "190632561",
"telephone_number": "610-565-8901",
"fax_number": "610-565-8905"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "LARSEN SENIOR CARE LLC",
"organizational_subpart": "NO",
"enumeration_date": "2011-03-23",
"last_updated": "2011-03-23",
"status": "A",
"authorized_official_last_name": "LARSEN",
"authorized_official_first_name": "JAMES",
"authorized_official_middle_name": "EDWARD",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "610-565-8901",
"authorized_official_name_prefix": "Mr."
},
"taxonomies": [
{
"code": "253Z00000X",
"taxonomy_group": "",
"desc": "In Home Supportive Care",
"state": "PA",
"license": "11333601",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "Home Instead Senior Care #472",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Media, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 23, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.