Organization Active NPI

Preferred Senior Care Services LLC

  • In Home Supportive Care Agency
  • Hayward, CA
National Provider Identifier
1417409822
Registry record updated Nov 2, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
In Home Supportive Care AgencyTaxonomy code 253Z00000X
Legal business name
PREFERRED SENIOR CARE SERVICES LLC
Practice address
24301 Southland Dr Ste 214H
Hayward, CA 94545-1546
Phone
(510) 576-1211
Fax
(888) 818-6255
NPI assigned
Nov 2, 2016
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 2, 2016

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

Authorized official

Name
Siegfried Maxion
Title
Administrator
Phone
(510) 258-2367

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
In Home Supportive Care Agency 253Z00000X Primary

Addresses

Primary practice location

24301 Southland Dr Ste 214H
Hayward, CA 94545-1546

Mailing address

24301 Southland Dr Ste 214H
Hayward, CA 94545-1546
Phone (510) 576-1211

National Provider Directory

National Provider Directory

Locations

24301 Southland Dr
Ste 214H
Hayward, CA 94545
Phone (510) 576-1211

NPI Registry JSON

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

{
    "created_epoch": "1478044800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1478044800000",
    "number": "1417409822",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "24301 SOUTHLAND DR STE 214H",
            "city": "HAYWARD",
            "state": "CA",
            "postal_code": "945451546",
            "telephone_number": "510-576-1211",
            "fax_number": "888-818-6255"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "24301 SOUTHLAND DR STE 214H",
            "city": "HAYWARD",
            "state": "CA",
            "postal_code": "945451546",
            "telephone_number": "510-576-1211",
            "fax_number": "888-818-6255"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PREFERRED SENIOR CARE SERVICES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-11-02",
        "last_updated": "2016-11-02",
        "status": "A",
        "authorized_official_last_name": "MAXION",
        "authorized_official_first_name": "SIEGFRIED",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "510-258-2367"
    },
    "taxonomies": [
        {
            "code": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Hayward, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 2, 2016; 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.