Senior Home Care LLC

Primary specialty

Adult Day Care Clinic/CenterTaxonomy code 261QA0600X

Legal business name

SENIOR HOME CARE LLC

Practice address

7863 Broadway Ste 220
Merrillville, IN 46410-5547

Phone

(219) 525-5201

NPI assigned

Mar 20, 2024

Organization subpart

No

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

Authorized official

Name

Shanta BrunsonNPI 1336755610

Title

Owner

Phone

(219) 614-1665

Specialties & licenses 2

Addresses

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Shanta Brunson, HOME HEALTH AGENCY

  • Community Health Worker
  • Gary, IN
  • NPI 1336755610
  NPD Authorized official

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

{
    "created_epoch": "1710892800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1711411200000",
    "number": "1740040450",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7863 BROADWAY STE 220",
            "city": "MERRILLVILLE",
            "state": "IN",
            "postal_code": "464105547",
            "telephone_number": "219-614-1665"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7863 BROADWAY STE 220",
            "city": "MERRILLVILLE",
            "state": "IN",
            "postal_code": "464105547",
            "telephone_number": "219-525-5201"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SENIOR HOME CARE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-03-20",
        "last_updated": "2024-03-26",
        "certification_date": "2024-03-26",
        "status": "A",
        "authorized_official_last_name": "BRUNSON",
        "authorized_official_first_name": "SHANTA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "219-614-1665"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QA0600X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adult Day Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Leann Christine Seip, LCSW
• Theresa Seles, HIS
• Frances Seller, D.D.S.
• Jennifer Sellers, APRN
• Sarah Sellers, RBT
• Gregory Serbenta, BA
• Serene Home Care LLC
• Virginia Serrano
• Louis Robert Sertich, D.D.S., M.S.
• Aaditya Vijay Shah, MD

• Adult Day Care Clinic/Center in Merrillville, IN
• Providers in Merrillville, IN by specialty
• Adult Day Care Clinic/Center in Indiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 26, 2024; 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.