Senior Activity Generational Exchange LLC

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

Legal business name

SENIOR ACTIVITY GENERATIONAL EXCHANGE LLC

Practice address

17715 Brady
Redford, MI 48240-2117

Phone

(888) 473-2408

Fax

(586) 884-8266

NPI assigned

Nov 25, 2014

Organization subpart

No

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

Authorized official

Name

Ms. Daisy Aldridge

Title

Owner

Phone

(888) 473-2408

Specialties & licenses 1

Addresses

Other names 1

• SAGE LLC Doing business as

Locations

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

{
    "created_epoch": "1416873600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1426032000000",
    "number": "1669879219",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1295",
            "city": "BIRMINGHAM",
            "state": "MI",
            "postal_code": "48012",
            "telephone_number": "888-473-2408",
            "fax_number": "586-884-8266"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "17715 BRADY",
            "city": "REDFORD",
            "state": "MI",
            "postal_code": "482402117",
            "telephone_number": "888-473-2408",
            "fax_number": "586-884-8266"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SENIOR ACTIVITY GENERATIONAL EXCHANGE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-11-25",
        "last_updated": "2015-03-11",
        "status": "A",
        "authorized_official_last_name": "ALDRIDGE",
        "authorized_official_first_name": "DAISY",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "888-473-2408",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Social Worker, Clinical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "SAGE LLC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Catherine Rose Schurman, LCSW
• Scott Samona MD PLLC
• SDP Transportation Service,LLC
• Season Therapy Studio, PLLC
• Kajiah Seay
• Senior Citizens Home Health Care, Inc.
• Senior Home Medical Equipment & Supplies LLC
• Serene Touch LLC
• Serving Others Home Group LLC
• Seven Stars Physical Therapy LLC

• Clinical Social Worker in Redford, MI
• Providers in Redford, MI by specialty
• Clinical Social Worker in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 11, 2015; 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.