Organization Active NPI

Senior Homecare LLC

  • In Home Supportive Care Agency
  • Maryville, IL
National Provider Identifier
1578294302
Registry record updated Jun 22, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
In Home Supportive Care AgencyTaxonomy code 253Z00000X
Legal business name
SENIOR HOMECARE LLC
Doing business as
Senior Helpers of the Metro East
Practice address
2720 N Center St Ste 200
Maryville, IL 62062-5859
Phone
(618) 262-0112
Fax
(618) 262-0112
NPI assigned
Jun 22, 2022
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 22, 2022

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

Authorized official

Name
James Denton Reed
Title
President
Phone
(618) 841-5631

Specialties & licenses 1

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

Addresses

Primary practice location

2720 N Center St Ste 200
Maryville, IL 62062-5859

Mailing address

2720 N Center St Ste 200
Maryville, IL 62062-5859
Phone (618) 262-0112

Other names 1

  • Senior Helpers of the Metro East Doing business as

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address info1707@seniorhelpers.com Direct

National Provider Directory

National Provider Directory

Locations

2720 N Center St
Ste 200
Maryville, IL 62062
Phone (618) 262-0112

NPI Registry JSON

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

{
    "created_epoch": "1655856000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1655856000000",
    "number": "1578294302",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2720 N CENTER ST STE 200",
            "city": "MARYVILLE",
            "state": "IL",
            "postal_code": "620625859",
            "telephone_number": "618-262-0112",
            "fax_number": "618-262-0112"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2720 N CENTER ST STE 200",
            "city": "MARYVILLE",
            "state": "IL",
            "postal_code": "620625859",
            "telephone_number": "618-262-0112",
            "fax_number": "618-262-0112"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SENIOR HOMECARE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-06-22",
        "last_updated": "2022-06-22",
        "certification_date": "2022-06-22",
        "status": "A",
        "authorized_official_last_name": "REED",
        "authorized_official_first_name": "JAMES",
        "authorized_official_middle_name": "DENTON",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "618-841-5631"
    },
    "taxonomies": [
        {
            "code": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "info1707@seniorhelpers.com",
            "affiliation": "N",
            "endpointDescription": "Senior Helpers Office Email",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "2720 N Center St Ste 200",
            "city": "Maryville",
            "state": "IL",
            "country_code": "US",
            "postal_code": "620625859",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "organization_name": "Senior Helpers of the Metro East",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Maryville, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 22, 2022; 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.