Organization Active NPI

Marvelous Enterprise LLC

Doing business as Seniors Helping Seniors

  • In Home Supportive Care Agency
  • Reseda, CA
National Provider Identifier
1790486603
Registry record updated Mar 16, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
In Home Supportive Care AgencyTaxonomy code 253Z00000X
Legal business name
MARVELOUS ENTERPRISE LLC
Doing business as
Seniors Helping Seniors
Practice address
17965 Archwood St
Reseda, CA 91335-5627
Phone
(716) 390-4686
NPI assigned
Mar 16, 2023
Organization subpart
Yes
Parent organization
MARVELOUS ENTERPRISE LLCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Mar 16, 2023

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

Authorized official

Name
Mr. Amos Marvel
Title
Sole Member/Manager
Phone
(716) 390-4686

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
In Home Supportive Care Agency 253Z00000X Primary

Addresses

Primary practice location

17965 Archwood St
Reseda, CA 91335-5627

Mailing address

18601 Sherman Way # B156
Reseda, CA 91335-4100

Other names 1

  • Seniors Helping Seniors Doing business as

National Provider Directory

National Provider Directory
Part of
Marvelous Enterprise LLC

Locations

18601 Sherman Way
#B156
Reseda, CA 91335

NPI Registry JSON

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

{
    "created_epoch": "1678924800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1678924800000",
    "number": "1790486603",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "18601 SHERMAN WAY # B156",
            "city": "RESEDA",
            "state": "CA",
            "postal_code": "913354100"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "17965 ARCHWOOD ST",
            "city": "RESEDA",
            "state": "CA",
            "postal_code": "913355627",
            "telephone_number": "716-390-4686"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MARVELOUS ENTERPRISE LLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "MARVELOUS ENTERPRISE LLC",
        "enumeration_date": "2023-03-16",
        "last_updated": "2023-03-16",
        "certification_date": "2023-03-16",
        "status": "A",
        "authorized_official_last_name": "MARVEL",
        "authorized_official_first_name": "AMOS",
        "authorized_official_title_or_position": "SOLE MEMBER/MANAGER",
        "authorized_official_telephone_number": "716-390-4686",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Seniors Helping Seniors",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Reseda, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 16, 2023; 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.