Seniorwell of Minnesota, LLC

Primary specialty

DentistTaxonomy code 122300000X

Legal business name

SENIORWELL OF MINNESOTA, LLC

Practice address

100 S 5TH St Ste 1900
Minneapolis, MN 55402-1267

Phone

(844) 882-3127

Fax

(844) 246-5875

NPI assigned

Sep 11, 2019

Organization subpart

No

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

Authorized official

Name

John Maroney

Title

Ceo

Phone

(844) 882-3127

Specialties & licenses 3

Addresses

Other names 1

• SeniorWell of Minnesota, LLC Doing business as

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

{
    "created_epoch": "1568160000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1568246400000",
    "number": "1124677133",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2100 E LAKE COOK RD STE 1000",
            "city": "BUFFALO GROVE",
            "state": "IL",
            "postal_code": "600891999",
            "telephone_number": "844-882-3127",
            "fax_number": "844-246-5875"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "100 S 5TH ST STE 1900",
            "city": "MINNEAPOLIS",
            "state": "MN",
            "postal_code": "554021267",
            "telephone_number": "844-882-3127",
            "fax_number": "844-246-5875"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SENIORWELL OF MINNESOTA, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-09-11",
        "last_updated": "2019-09-12",
        "status": "A",
        "authorized_official_last_name": "MARONEY",
        "authorized_official_first_name": "JOHN",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "844-882-3127"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "152W00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Optometrist",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "231H00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Audiologist",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "SeniorWell of Minnesota, LLC",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "SeniorWell of Minnesota, LLC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Jenna Senger, MSW
• Jay Deep Sengupta, M.D.
• Senior Care Providence, LLC
• Senior Health Management, Inc.
• Senior Meals Services
• Seniorwell Pod of Minnesota, LLC
• Senite Home Healthcare LLC
• Alexander Matthew Senk, M.D.
• Jamie Senn, RN, BSN
• Allison Leigh Senogles, RN

• Dentist in Minneapolis, MN
• Providers in Minneapolis, MN by specialty
• Dentist in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 12, 2019; 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.