Senior Network, Inc.

Primary specialty

Adult Day Care Clinic/CenterTaxonomy code 261QA0600X

License

17311 Issued in MD

Legal business name

SENIOR NETWORK, INC.

Practice address

11665 Doolittle Dr
Waldorf, MD 20602-2898

Phone

(301) 638-0502

Fax

(301) 970-2459

NPI assigned

Mar 28, 2007

Organization subpart

No

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

Authorized official

Name

Mrs. Karin Mueck Lakin

Title

Director of Operations

Phone

(301) 749-7611

Specialties & licenses 1

Addresses

Other names 1

• Fenwick Landing Adult Day Health Center Doing business as

Tax ID family

Crescent Ridge Adult Day Health Center2 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 Network, Inc.

  • Adult Day Care Clinic/Center
  • Oxon Hill, MD
  • NPI 1063531994
  NPD tax ID

Locations

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

{
    "created_epoch": "1175040000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1194844720",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11665 DOOLITTLE DR",
            "city": "WALDORF",
            "state": "MD",
            "postal_code": "206022898",
            "telephone_number": "301-638-0502",
            "fax_number": "301-970-2459"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11665 DOOLITTLE DR",
            "city": "WALDORF",
            "state": "MD",
            "postal_code": "206022898",
            "telephone_number": "301-638-0502",
            "fax_number": "301-970-2459"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SENIOR NETWORK, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-28",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "LAKIN",
        "authorized_official_first_name": "KARIN",
        "authorized_official_middle_name": "MUECK",
        "authorized_official_title_or_position": "DIRECTOR OF OPERATIONS",
        "authorized_official_telephone_number": "301-749-7611",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "261QA0600X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adult Day Care",
            "state": "MD",
            "license": "17311",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Fenwick Landing Adult Day Health Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Kimberly Denise Williams Scott, OTR/L
• Linda Renee Scott
• Yvonne Scott
• Babak Seihoun
• Collins P Sein, MD
• Sequence Orthodontics
• Jodi Serafin, RD
• Serenity Estate Home Care
• Ngoran Chantal Sery
• Baljeet S Sethi, M.D.

• Adult Day Care Clinic/Center in Waldorf, MD
• Providers in Waldorf, MD by specialty
• Adult Day Care Clinic/Center in Maryland

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.