Organization Active NPI

Senior Pro Services LLC

  • Home Health Agency
  • San Leandro, CA
National Provider Identifier
1528307626
Registry record updated Apr 28, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
Legal business name
SENIOR PRO SERVICES LLC
Practice address
595 Estudillo Ave Ste a
San Leandro, CA 94577-4611
Phone
(510) 357-2222
Fax
(510) 667-9727
NPI assigned
Feb 8, 2013
Last updated
Apr 28, 2023By the provider in NPPES
Organization subpart
Yes
Parent organization
SENIOR PRO SERVICES LLCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Apr 28, 2023

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

Authorized official

Name
Mr. Fessha Taye
Title
Ceo/Administrator
Phone
(510) 357-2222

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X Primary

Addresses

Primary practice location

595 Estudillo Ave Ste a
San Leandro, CA 94577-4611

Mailing address

595 Estudillo Ave Ste a
San Leandro, CA 94577-4611
Phone (510) 357-2222

Care Compare: Home health agency

Medicare Care Compare
Listed as
Senior Pro Services, LLCCCN 059670
Ownership
Proprietary
Certified
Jan 4, 2018
Medicare certification status
ActiveFrom the Provider of Services file
Services
Nursing, Medical social, Home health aide, Physical therapy, Speech pathology, Occupational therapy

Name & address match This facility record has no NPI; it was connected to this NPI by matching name and address. The facility is not in the current Medicare enrollment files, which can mean its Medicare enrollment has ended (or, for VA and military hospitals, that it does not enroll).

National Provider Directory

National Provider Directory
Part of
Senior Pro Services LLC

Locations

14798 Wicks Blvd
San Leandro, CA 94577
Phone (510) 357-2222

444 Estudillo Ave
Ste A3
San Leandro, CA 94577
Phone (510) 357-2222

595 Estudillo Ave
Ste A
San Leandro, CA 94577
Phone (510) 357-2222

NPI Registry JSON

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

{
    "created_epoch": "1360281600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1682640000000",
    "number": "1528307626",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "595 ESTUDILLO AVE STE A",
            "city": "SAN LEANDRO",
            "state": "CA",
            "postal_code": "945774611",
            "telephone_number": "510-357-2222",
            "fax_number": "510-667-9727"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "595 ESTUDILLO AVE STE A",
            "city": "SAN LEANDRO",
            "state": "CA",
            "postal_code": "945774611",
            "telephone_number": "510-357-2222",
            "fax_number": "510-667-9727"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SENIOR PRO SERVICES LLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "SENIOR PRO SERVICES LLC",
        "enumeration_date": "2013-02-08",
        "last_updated": "2023-04-28",
        "certification_date": "2023-04-28",
        "status": "A",
        "authorized_official_last_name": "TAYE",
        "authorized_official_first_name": "FESSHA",
        "authorized_official_title_or_position": "CEO/ADMINISTRATOR",
        "authorized_official_telephone_number": "510-357-2222",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in San Leandro, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 28, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.