Senior Life Management LLC

Primary specialty

In Home Supportive Care AgencyTaxonomy code 253Z00000X

License

L000000003130 Issued in TN

Legal business name

SENIOR LIFE MANAGEMENT LLC

Doing business as

Home Instead Senior Care

Practice address

1459 Interstate Dr
Suite 205
Cookeville, TN 38501-4608

Phone

(931) 526-1127

Fax

(931) 526-1134

NPI assigned

Mar 10, 2009

Organization subpart

No

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

Authorized official

Name

Mr. Rob Brown

Title

Franchise Owner

Phone

(931) 526-1127

Specialties & licenses 1

Addresses

Other names 1

• Home Instead Senior Care Doing business as

Locations

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

{
    "created_epoch": "1236643200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1236643200000",
    "number": "1710128475",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1459 INTERSTATE DR",
            "address_2": "SUITE 205",
            "city": "COOKEVILLE",
            "state": "TN",
            "postal_code": "385014608",
            "telephone_number": "931-526-1127",
            "fax_number": "931-526-1134"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1459 INTERSTATE DR",
            "address_2": "SUITE 205",
            "city": "COOKEVILLE",
            "state": "TN",
            "postal_code": "385014608",
            "telephone_number": "931-526-1127",
            "fax_number": "931-526-1134"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SENIOR LIFE MANAGEMENT LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-03-10",
        "last_updated": "2009-03-10",
        "status": "A",
        "authorized_official_last_name": "BROWN",
        "authorized_official_first_name": "ROB",
        "authorized_official_title_or_position": "FRANCHISE OWNER",
        "authorized_official_telephone_number": "931-526-1127",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive Care",
            "state": "TN",
            "license": "L000000003130",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Home Instead Senior Care",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• David Bradley Seitzinger, MD
• Graham Sells, PHARMD
• Ruthellen Elizabeth Sells, BEHAVIOR TECHNICIAN
• Tony Dale Sells, DPH
• Haley Semeniuk, BSN, RN, IBCLC
• Senior Lifestyles LLC
• Senior Lifestyles. LLC
• Serenity Health LLC
• Serenity Mental Health
• Bobbi A. Severt, ATC

• In Home Supportive Care Agency in Cookeville, TN
• Providers in Cookeville, TN by specialty
• In Home Supportive Care Agency in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 10, 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.