Senior Wellness Group

Primary specialty

Point of ServiceTaxonomy code 305S00000X

Legal business name

SENIOR WELLNESS GROUP

Practice address

2473 North Rd NE
Warren, OH 44483-3054

Phone

(330) 372-2251

NPI assigned

Jul 30, 2020

Organization subpart

No

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

Authorized official

Name

Mr. Kerry Neal

Title

Manager

Phone

(440) 343-6955

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1596067200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1596067200000",
    "number": "1366051708",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2000 AUBURN DR",
            "address_2": "SUITE 200",
            "city": "BEACHWOOD",
            "state": "OH",
            "postal_code": "441224314",
            "telephone_number": "440-343-6955"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2473 NORTH RD NE",
            "city": "WARREN",
            "state": "OH",
            "postal_code": "444833054",
            "telephone_number": "330-372-2251"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SENIOR WELLNESS GROUP",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-07-30",
        "last_updated": "2020-07-30",
        "certification_date": "2020-07-30",
        "status": "A",
        "authorized_official_last_name": "NEAL",
        "authorized_official_first_name": "KERRY",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "440-343-6955",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "305S00000X",
            "taxonomy_group": "",
            "desc": "Point of Service",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Sandra Seikel, RPH
• Koshala Selvakumar, MD
• Nicole Johnelle Seminara, RN
• Chelsea Marie Semple, QMHS
• Kelly M Semple
• Mary Elizabeth Senne
• Christine H Sesonsky, MA-CCC
• Heather N Setser
• Alison Sferra
• Maggie Shackelford

• Point of Service in Warren, OH
• Providers in Warren, OH by specialty
• Point of Service in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 30, 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.