Silver Senior Health Care

Primary specialty

Community Based Hospice Care AgencyTaxonomy code 251G00000X

License

121791 Issued in IA

Legal business name

SILVER SENIOR HEALTH CARE

Practice address

4439 Devils Glen Rd
Unit 123
Bettendorf, IA 52722-8401

Phone

(563) 370-3800

NPI assigned

Jan 30, 2014

Organization subpart

No

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

Authorized official

Name

Stacy Simon-Lee, RN

Title

President-RN

Phone

56337003800

Specialties & licenses 4

Addresses

Locations

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

{
    "created_epoch": "1391040000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1391385600000",
    "number": "1750704573",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4439 DEVILS GLEN RD UNIT 123",
            "city": "BETTENDORF",
            "state": "IA",
            "postal_code": "527228404"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4439 DEVILS GLEN RD",
            "address_2": "UNIT 123",
            "city": "BETTENDORF",
            "state": "IA",
            "postal_code": "527228401",
            "telephone_number": "563-370-3800"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SILVER SENIOR HEALTH CARE",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-01-30",
        "last_updated": "2014-02-03",
        "status": "A",
        "authorized_official_last_name": "SIMON-LEE",
        "authorized_official_first_name": "STACY",
        "authorized_official_title_or_position": "PRESIDENT-RN",
        "authorized_official_telephone_number": "56337003800",
        "authorized_official_credential": "RN"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "IA",
            "license": "121791",
            "primary": false
        },
        {
            "code": "251G00000X",
            "taxonomy_group": "",
            "desc": "Hospice Care, Community Based",
            "state": "IA",
            "license": "121791",
            "primary": true
        },
        {
            "code": "251G00000X",
            "taxonomy_group": "",
            "desc": "Hospice Care, Community Based",
            "state": "IL",
            "license": "041369832",
            "primary": false
        },
        {
            "code": "251J00000X",
            "taxonomy_group": "",
            "desc": "Nursing Care",
            "state": "IL",
            "license": "04136832",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 3, 2014; 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.