Organization Active NPI

Larsen Senior Care LLC

  • In Home Supportive Care Agency
  • Media, PA
National Provider Identifier
1124327655
Registry record updated Mar 23, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
In Home Supportive Care AgencyTaxonomy code 253Z00000X
License
11333601 Issued in PA
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

Updated by the provider on Mar 23, 2011

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)CodeLicenseStatePrimary
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 Doing business as

National Provider Directory

National Provider Directory

NPI 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.

Verify at the official NPI Registry.