Senior Companion Services LLC

Primary specialty

Home Health AgencyTaxonomy code 251E00000X

License

HC3030 Issued in NC

Legal business name

SENIOR COMPANION SERVICES LLC

Practice address

212 N Mulberry St
Statesville, NC 28677-5138

Phone

(704) 402-5567

NPI assigned

Mar 1, 2007

Last updated

Aug 22, 2020By 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

Ms. Janice Myers

Title

Owner

Phone

(704) 402-5567

Specialties & licenses 1

Addresses

Other identifiers 2

Other names 1

• Senior Companion Services Former legal business name

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

{
    "created_epoch": "1172707200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1467580399",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1725",
            "city": "STATESVILLE",
            "state": "NC",
            "postal_code": "286871725",
            "telephone_number": "704-402-5567"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "212 N MULBERRY ST",
            "city": "STATESVILLE",
            "state": "NC",
            "postal_code": "286775138",
            "telephone_number": "704-402-5567"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SENIOR COMPANION SERVICES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-01",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "MYERS",
        "authorized_official_first_name": "JANICE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "704-402-5567",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "NC",
            "license": "HC3030",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3408711",
            "state": "NC"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "6601346",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Senior Companion Services",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

• Latisha Nicole Sealey, LCMHC
• Seema Garcha MD PA
• John Aldus Alexander Seldomridge III, MD
• Craig S Self, MD
• Sylvia Self, CRNA
• Mary Carroll Sepkowitz, RN, MSN, FNP, CNM
• Michael S Serwint, MD
• Sharon B Setzer, FNP-C
• Charles Sevier, PT, DPT
• Dharmen Subodhchandra Shah, M.D.

• Home Health Agency in Statesville, NC
• Providers in Statesville, NC by specialty
• Home Health Agency in North Carolina

• 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.