Seniorcare Homes LLC

Primary specialty

Adult Care Home FacilityTaxonomy code 311ZA0620X

License

B046040 Issued in KS

Legal business name

SENIORCARE HOMES LLC

Practice address

6918 W 68TH St
Overland Park, KS 66204-1301

Phone

(913) 236-0036

NPI assigned

Apr 29, 2009

Last updated

Apr 29, 2009By 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

Mr. Jerald Leslie Pullins Jr.

Title

President

Phone

(913) 236-0036

Specialties & licenses 2

Addresses

Locations

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

{
    "created_epoch": "1240963200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1240963200000",
    "number": "1639313067",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5200 W 94TH TER",
            "address_2": "SUITE 115",
            "city": "PRAIRIE VILLAGE",
            "state": "KS",
            "postal_code": "662072522",
            "telephone_number": "913-236-0036",
            "fax_number": "913-432-3055"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6918 W 68TH ST",
            "city": "OVERLAND PARK",
            "state": "KS",
            "postal_code": "662041301",
            "telephone_number": "913-236-0036"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SENIORCARE HOMES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-04-29",
        "last_updated": "2009-04-29",
        "status": "A",
        "authorized_official_last_name": "PULLINS",
        "authorized_official_first_name": "JERALD",
        "authorized_official_middle_name": "LESLIE",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "913-236-0036",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_name_suffix": "Jr."
    },
    "taxonomies": [
        {
            "code": "311ZA0620X",
            "taxonomy_group": "",
            "desc": "Custodial Care Facility, Adult Care Home",
            "state": "KS",
            "license": "B046040",
            "primary": true
        },
        {
            "code": "311ZA0620X",
            "taxonomy_group": "",
            "desc": "Custodial Care Facility, Adult Care Home",
            "state": "KS",
            "license": "B046036",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Mary Therese Sellers, APRN - BC
• Scott Sellers, DO
• Scott P Sells, PHD, LCSW, LCMFT
• Karina Semenov
• Senior Doc Kansas PA
• Seniorkare LLC (Benefits of Home Senior Care)
• Kira Danielle Senne
• Sense of Self Therapy LLC
• Serc Hand Rehabilitation South LLC (SERC Hand Rehab South)
• Serc Hand Rehabilitation South LLC

• Adult Care Home Facility in Overland Park, KS
• Providers in Overland Park, KS by specialty
• Adult Care Home Facility in Kansas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 29, 2009; 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.