Organization Active NPI

Senior Health Services LLC

  • Ophthalmology Physician
  • Louisville, KY
National Provider Identifier
1811235120
Registry record updated Jun 3, 2016
On this page

Key facts

NPPES NPI Registry
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
Last updated
Jun 3, 2016By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 3, 2016

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

Authorized official

Name
Mohammad A Haider, DONPI 1871622258
Title
Owner
Phone
(502) 883-1015

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
OptometristGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 152W00000X
Ophthalmology PhysicianGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 207W00000X Primary

Addresses

Primary practice location

2932 Breckenridge LN
Suite 5
Louisville, KY 40220-1400

Mailing address

2932 Breckenridge LN
Suite 5
Louisville, KY 40220-1400
Phone (502) 883-1015

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in KY, IN2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20130603000669 KY Part B Supplier - Clinic/Group Practice 9234377219 Receives reassigned benefits from 7 practitioners
Practice locations: Carrollton, KY; Elizabethtown, KY; Louisville, KY
O20180108001846 IN Part B Supplier - Clinic/Group Practice 9234377219 Receives reassigned benefits from 1 practitioner
Practice locations: Madison, IN

National Provider Directory

National Provider Directory
Tax ID family
Senior Health Services2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

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

Locations

601 Broadway St
Ste 10
Madison, IN 47250
Phone (502) 371-9700

2410 Ring Rd
Ste 400
Elizabethtown, KY 42701
Phone (270) 982-3937

599 Rogersville Rd
Radcliff, KY 40160
Phone (270) 351-2999

800 W Lincoln Trail Blvd
#108
Radcliff, KY 40160
Phone (270) 351-8661

Practitioners & affiliated clinicians

Practitioners 7

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "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": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Louisville, KY

Sources for this page

  • 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.