The Senior'S Club LTD.

Primary specialty

Adult Day Care Clinic/CenterTaxonomy code 261QA0600X

Legal business name

THE SENIOR'S CLUB LTD.

Practice address

9648 S Pulaski Rd
Oak Lawn, IL 60453-3391

Phone

(708) 444-7463

Fax

(708) 444-8359

NPI assigned

Jan 15, 2013

Organization subpart

No

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

Authorized official

Name

Lenora Ann Miller

Title

Administrator

Phone

(708) 444-7463

Specialties & licenses 2

Addresses

Tax ID family

The Senior'S Club LTD2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• The Senior'S Club LTD.

  • Adult Day Care Clinic/Center
  • Tinley Park, IL
  • NPI 1922345578
  NPD tax ID

Locations

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

{
    "created_epoch": "1358208000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1358208000000",
    "number": "1730426396",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7040 CENTENNIAL DR",
            "city": "TINLEY PARK",
            "state": "IL",
            "postal_code": "604771649",
            "telephone_number": "708-444-7463",
            "fax_number": "708-444-8359"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9648 S PULASKI RD",
            "city": "OAK LAWN",
            "state": "IL",
            "postal_code": "604533391",
            "telephone_number": "708-444-7463",
            "fax_number": "708-444-8359"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THE SENIOR'S CLUB LTD.",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-01-15",
        "last_updated": "2013-01-15",
        "status": "A",
        "authorized_official_last_name": "MILLER",
        "authorized_official_first_name": "LENORA",
        "authorized_official_middle_name": "ANN",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "708-444-7463"
    },
    "taxonomies": [
        {
            "code": "261QA0600X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adult Day Care",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "343900000X",
            "taxonomy_group": "",
            "desc": "Non-emergency Medical Transport (VAN)",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Rodney Howard Thill, MD
• Thomas G. Mulvey , M.S., P.T., M.B.a., P.C.
• Thomas J King Jr DDS PC

• Adult Day Care Clinic/Center in Oak Lawn, IL
• Providers in Oak Lawn, IL by specialty
• Adult Day Care Clinic/Center in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 15, 2013; 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.