Senior Total Life Care

Primary specialty

PACE Provider OrganizationTaxonomy code 251T00000X

Legal business name

SENIOR TOTAL LIFE CARE

Practice address

103 TR Harris Road
Shelby, NC 28150

Phone

(704) 874-0600

NPI assigned

May 13, 2024

Last updated

May 13, 2024By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Catherine Kenzig

Title

Executive Director

Phone

(704) 860-8985

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1715558400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1715558400000",
    "number": "1801644901",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1875 REMOUNT RD",
            "city": "GASTONIA",
            "state": "NC",
            "postal_code": "280547413",
            "telephone_number": "704-860-0600"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "103 TR HARRIS ROAD",
            "city": "SHELBY",
            "state": "NC",
            "postal_code": "28150",
            "telephone_number": "704-874-0600"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SENIOR TOTAL LIFE CARE",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-05-13",
        "last_updated": "2024-05-13",
        "certification_date": "2024-05-03",
        "status": "A",
        "authorized_official_last_name": "KENZIG",
        "authorized_official_first_name": "CATHERINE",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "704-860-8985"
    },
    "taxonomies": [
        {
            "code": "251T00000X",
            "taxonomy_group": "",
            "desc": "Program of All-Inclusive Care for the Elderly (PACE) Provider Organization",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Second Chance Outreach Services
• Second Chance Recovery Center Inc.
• Nelson Seen, MD
• Edwin Seh Achu, MD
• Self Determination, LLC
• Serenity Family and Community Ctr
• Brahmi Haritmai Seth, M.D.
• Bhawna Sethi, MD
• Julia Brooks Sewell
• Tyler Shade

• PACE Provider Organization in Shelby, NC
• Providers in Shelby, NC by specialty
• PACE Provider Organization in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 13, 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.