Senior Home Caregivers, Inc.

Primary specialty

In Home Supportive Care AgencyTaxonomy code 253Z00000X

Legal business name

SENIOR HOME CAREGIVERS, INC.

Practice address

1003 E Cooley Dr Ste 203
Colton, CA 92324-3907

Phone

(909) 867-7787

Fax

(909) 872-1168

NPI assigned

Dec 2, 2021

Organization subpart

No

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

Authorized official

Name

Brian Davis

Title

Vice President

Phone

(909) 835-5626

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

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

{
    "created_epoch": "1638403200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1638403200000",
    "number": "1801554258",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1003 E COOLEY DR STE 203",
            "city": "COLTON",
            "state": "CA",
            "postal_code": "923243907",
            "telephone_number": "909-867-7787",
            "fax_number": "909-872-1168"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1003 E COOLEY DR STE 203",
            "city": "COLTON",
            "state": "CA",
            "postal_code": "923243907",
            "telephone_number": "909-867-7787",
            "fax_number": "909-872-1168"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SENIOR HOME CAREGIVERS, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-12-02",
        "last_updated": "2021-12-02",
        "certification_date": "2021-12-02",
        "status": "A",
        "authorized_official_last_name": "DAVIS",
        "authorized_official_first_name": "BRIAN",
        "authorized_official_title_or_position": "VICE PRESIDENT",
        "authorized_official_telephone_number": "909-835-5626"
    },
    "taxonomies": [
        {
            "code": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LICENSE",
            "identifier": "DSS-364700007",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Celisse Sellars
• Hooman Senaati, MD
• Lolita Senecal
• Niluk Leon Senewiratne, MD
• Sakona Seng, DO
• Rachel Sergah
• Martha Seronko
• Jasmine Serpas
• Berenice Serrano
• Marco Serrano, PA-C

• In Home Supportive Care Agency in Colton, CA
• Providers in Colton, CA by specialty
• In Home Supportive Care Agency in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 2, 2021; 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.