Organization Active NPI

Senior Lifestyle Services, LLC.

  • Home Health Agency
  • Quincy, MA
National Provider Identifier
1629379748
Registry record updated Nov 4, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
License
7235 Issued in MA
Legal business name
SENIOR LIFESTYLE SERVICES, LLC.
Doing business as
ComForcare Senior Services
Practice address
1 Adams PL
Suite 400
Quincy, MA 02169-7482
Phone
(781) 380-0699
Fax
(781) 433-0083
NPI assigned
Nov 4, 2010
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 4, 2010

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

Authorized official

Name
Mr. Steven Robert Maxwell
Title
Managing Member
Phone
(781) 380-0699

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X 7235 MA Primary

Addresses

Primary practice location

1 Adams PL
Suite 400
Quincy, MA 02169-7482

Mailing address

288 Grove St
Suite 167
Braintree, MA 02184-7209
Phone (781) 380-0699

Other names 1

  • ComForcare Senior Services Doing business as

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1288828800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1288828800000",
    "number": "1629379748",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "288 GROVE ST",
            "address_2": "SUITE 167",
            "city": "BRAINTREE",
            "state": "MA",
            "postal_code": "021847209",
            "telephone_number": "781-380-0699",
            "fax_number": "781-433-0083"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1 ADAMS PL",
            "address_2": "SUITE 400",
            "city": "QUINCY",
            "state": "MA",
            "postal_code": "021697482",
            "telephone_number": "781-380-0699",
            "fax_number": "781-433-0083"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SENIOR LIFESTYLE SERVICES, LLC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-11-04",
        "last_updated": "2010-11-04",
        "status": "A",
        "authorized_official_last_name": "MAXWELL",
        "authorized_official_first_name": "STEVEN",
        "authorized_official_middle_name": "ROBERT",
        "authorized_official_title_or_position": "MANAGING MEMBER",
        "authorized_official_telephone_number": "781-380-0699",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "MA",
            "license": "7235",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "ComForcare Senior Services",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Quincy, MA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 4, 2010; 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.