Senior Life Inc.

Primary specialty

Skilled Nursing FacilityTaxonomy code 314000000X

License

040562 Issued in MO

Legal business name

SENIOR LIFE INC.

Doing business as

Saxton Riverside Care Center

Practice address

1616 Weisenborn Rd
Saint Joseph, MO 64507-2527

Phone

(816) 232-9874

NPI assigned

Feb 24, 2014

Last updated

Mar 18, 2014By the provider in NPPES

Organization subpart

Yes

Parent organization

QOL HEALTH MANAGEMENTAs reported in NPPES

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

Authorized official

Name

Mr. Timothy Saxton

Title

Ceo

Phone

(816) 364-2578

Specialties & licenses 2

Addresses

Other identifiers 1

Other names 1

• Saxton Riverside Care Center Doing business as

Tax ID family

Saxton Country Villa2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

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

• Senior Life, Inc.

  dba saxton country villa

  • Assisted Living Facility
  • Saint Joseph, MO
  • NPI 1881862381
  NPD tax ID

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

{
    "created_epoch": "1393200000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1395100800000",
    "number": "1194140434",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 8218",
            "city": "SAINT JOSEPH",
            "state": "MO",
            "postal_code": "645088218",
            "telephone_number": "816-364-2578",
            "fax_number": "816-364-3430"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1616 WEISENBORN RD",
            "city": "SAINT JOSEPH",
            "state": "MO",
            "postal_code": "645072527",
            "telephone_number": "816-232-9874"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SENIOR LIFE INC.",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "QOL HEALTH MANAGEMENT",
        "enumeration_date": "2014-02-24",
        "last_updated": "2014-03-18",
        "status": "A",
        "authorized_official_last_name": "SAXTON",
        "authorized_official_first_name": "TIMOTHY",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "816-364-2578",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "MO",
            "license": "040562",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "102051604",
            "state": "MO"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Saxton Riverside Care Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Aubrey Colleen Sedlacek, FNP
• Sarah L Sedlacek, APRN
• Brooke Renee Seevers, D.O.
• Select Physical Therapy Holdings, Inc. (Select Physical Therapy)
• Amber Christine Sellars, PTA
• Senior Life, Inc. (Saxton Riverside Care Center)
• Senior Life, Inc. (saxton country villa)
• Julie Ann Senne, D.O.
• Serc Rehabilitation Partners LLC (SERC - Saint Joseph)
• Serenity Counseling Service (Serenity Counseling Services)

• Skilled Nursing Facility in Saint Joseph, MO
• Providers in Saint Joseph, MO by specialty
• Skilled Nursing Facility in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 18, 2014; 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.