Senior Health Services LLC

Primary specialty

Ophthalmology PhysicianTaxonomy code 207W00000X

Legal business name

SENIOR HEALTH SERVICES LLC

Practice address

2932 Breckenridge LN
Suite 5
Louisville, KY 40220-1400

Phone

(502) 883-1015

Fax

(502) 883-1019

NPI assigned

Jan 21, 2013

Organization subpart

No

Name

Mohammad A Haider, DONPI 1871622258

Title

Owner

Phone

(502) 883-1015

Organizations that report the same tax identification number in the National Provider Directory.

• Senior Health Services LLC

  • Ophthalmology Physician
  • Radcliff, KY
  • NPI 1447649827
  NPD tax ID

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Mohammad Ali Haider, D.O.

  • Ophthalmology Physician
  • Louisville, KY
  • NPI 1871622258

  IN, KY, Ophthalmology

  Medicare reassignment NPD Authorized official
• Terry L Goodman, OD

  • Optometrist
  • Louisville, KY
  • NPI 1831235498

  KY, Optometrist

  Medicare reassignment NPD
• Victor A Neamtu, M.D.

  • Ophthalmology Physician
  • Louisville, KY
  • NPI 1508009754

  KY, Ophthalmology

  Medicare reassignment NPD
• Gregory Michael Sulkowski, M.D.

  • Ophthalmology Physician
  • Louisville, KY
  • NPI 1811102080

  KY, Ophthalmology

  Medicare reassignment NPD
• William Jason Ward, O.D.

  • Optometrist
  • Elizabethtown, KY
  • NPI 1922484708

  KY, Optometrist

  Medicare reassignment NPD
• Julie Hogan, OD

  • Optometrist
  • Louisville, KY
  • NPI 1356343990

  KY

  Medicare reassignment
• James D Hurt, OD

  • Optometrist
  • Louisville, KY
  • NPI 1194727743

  KY

  Medicare reassignment

Medicare fee-for-service enrollment

Enrolled in KY, IN2 enrollments

Tax ID family

Senior Health Services (2 organizations share this tax ID)

Locations

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Jun 3, 2016.

{
    "created_epoch": "1358726400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1464912000000",
    "number": "1811235120",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2932 BRECKENRIDGE LN",
            "address_2": "SUITE 5",
            "city": "LOUISVILLE",
            "state": "KY",
            "postal_code": "402201400",
            "telephone_number": "502-883-1015",
            "fax_number": "502-883-1019"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2932 BRECKENRIDGE LN",
            "address_2": "SUITE 5",
            "city": "LOUISVILLE",
            "state": "KY",
            "postal_code": "402201400",
            "telephone_number": "502-883-1015",
            "fax_number": "502-883-1019"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SENIOR HEALTH SERVICES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-01-21",
        "last_updated": "2016-06-03",
        "status": "A",
        "authorized_official_last_name": "HAIDER",
        "authorized_official_first_name": "MOHAMMAD",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "502-883-1015",
        "authorized_official_credential": "DO"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Optometrist",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207W00000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Ophthalmology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "7100240490",
            "state": "KY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Senior Care Services, LLC
• Senior Community Care of Kentucky
• Senior Group LLC Dba Odessaconnect
• Senior Guidance, a Professional Services Corporation
• Senior Haven Personal Care Center
• Senior Helpers of Ky LLC
• Dale Senior, MD
• Seniors Physical Therapy, Inc.
• Seniortopcare LLC
• Julia Nagle Senn-Reeves, DNP, APRN, CCNS, CCR

• All providers in Louisville, KY
• Ophthalmology Physician in Kentucky

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 3, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.