Senior Executive LLC

Primary specialty

Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X

License

20112658 Issued in AZ

Legal business name

SENIOR EXECUTIVE LLC

Practice address

7027 N Scottsdale Rd
Unit 115
Scottsdale, AZ 85253-3682

Phone

(480) 882-0903

Fax

(480) 882-0903

NPI assigned

Jul 16, 2006

Organization subpart

No

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

Authorized official

Name

Mr. Jason Lee Zuckerman

Title

Presdent

Phone

(480) 882-0903

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1153008000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1790702728",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7027 N SCOTTSDALE RD",
            "address_2": "UNIT 115",
            "city": "SCOTTSDALE",
            "state": "AZ",
            "postal_code": "852533682",
            "telephone_number": "480-882-0903",
            "fax_number": "480-882-0903"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7027 N SCOTTSDALE RD",
            "address_2": "UNIT 115",
            "city": "SCOTTSDALE",
            "state": "AZ",
            "postal_code": "852533682",
            "telephone_number": "480-882-0903",
            "fax_number": "480-882-0903"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SENIOR EXECUTIVE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-16",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "ZUCKERMAN",
        "authorized_official_first_name": "JASON",
        "authorized_official_middle_name": "LEE",
        "authorized_official_title_or_position": "PRESDENT",
        "authorized_official_telephone_number": "480-882-0903",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "AZ",
            "license": "20112658",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kumbukage J Seneviratne, MBBS
• Nicole Senff, MS, CF-SLP
• Senior Care Provides LLC (Home Matters Caregiving - North Scottsdale)
• Senior Care Services, Inc. (Senior Helpers)
• Senior Care Therapy LLC (Senior Care Therapy of Arizona LLC)
• Senior Generations, LLC
• Senior Valley Assisted Living II LLC
• Seniors Are US, Inc.
• Seniors for Seniors
• Debjoti Sensharma, MD

• Durable Medical Equipment & Medical Supplies in Scottsdale, AZ
• Providers in Scottsdale, AZ by specialty
• Durable Medical Equipment & Medical Supplies in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.