Senior Care Physicians

Primary specialty

General Practice PhysicianTaxonomy code 208D00000X

License

4301105543 Issued in MI

Legal business name

SENIOR CARE PHYSICIANS

Practice address

4241 Maple St
Suite 200C
Dearborn, MI 48126-3826

Phone

(313) 506-1776

NPI assigned

Jan 24, 2015

Last updated

Jan 24, 2015By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Mohamed Mansour, M.DNPI 1871809442

Title

President

Phone

(484) 431-0039

Specialties & licenses 1

Addresses

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Mohamed Mansour

  • General Practice Physician
  • Katy, TX
  • NPI 1871809442
  NPD Authorized official

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

{
    "created_epoch": "1422057600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1422057600000",
    "number": "1164812582",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "29122 CREEK BEND DR",
            "city": "FARMINGTON HILLS",
            "state": "MI",
            "postal_code": "483312606",
            "telephone_number": "313-506-1776"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4241 MAPLE ST",
            "address_2": "SUITE 200C",
            "city": "DEARBORN",
            "state": "MI",
            "postal_code": "481263826",
            "telephone_number": "313-506-1776"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SENIOR CARE PHYSICIANS",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-01-24",
        "last_updated": "2015-01-24",
        "status": "A",
        "authorized_official_last_name": "MANSOUR",
        "authorized_official_first_name": "MOHAMED",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "484-431-0039",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D"
    },
    "taxonomies": [
        {
            "code": "208D00000X",
            "taxonomy_group": "",
            "desc": "General Practice",
            "state": "MI",
            "license": "4301105543",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Amanda Semetko
• David Sengstock, MD
• Senior Alliance Inc (The Senior Alliance)
• Senior Care Alternatives PLLC
• Senior Care Medical Group PLLC
• Senior Health Partner
• Senior Independence Home Care LLC
• Jessica Sepulveda
• Serenity Home Hospice LLC
• Serenity in Home Care (Serenity Cares)

• General Practice Physician in Dearborn, MI
• Providers in Dearborn, MI by specialty
• General Practice Physician in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 24, 2015; 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.