Senior Care Providers PLLC

Primary specialty

Primary Care Clinic/CenterTaxonomy code 261QP2300X

Legal business name

SENIOR CARE PROVIDERS PLLC

Practice address

6630 FM 1463 Rd Ste A500
Katy, TX 77494-7526

Phone

(346) 707-8978

Fax

(313) 457-1003

NPI assigned

Feb 22, 2020

Organization subpart

No

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

Authorized official

Name

Mohamed Mansour, MDNPI 1871809442

Title

Owner

Phone

(313) 945-5450

Specialties & licenses 1

Addresses

Other names 1

• SENIOR CARE PROVIDERS PLLC Other name

Medicare fee-for-service enrollment

Enrolled in TX

Enrollment records 1

Locations

Practitioners 3

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

• Mohamed Mansour

  • General Practice Physician
  • Katy, TX
  • NPI 1871809442
  Medicare reassignment Care Compare group Authorized official
• Sudad Kareem Al Hadad, MD

  • General Practice Physician
  • Houston, TX
  • NPI 1558922625
  Medicare reassignment Care Compare group NPD
• Yilian Adela Almaguer Simon, APRN-CNP

  • Family Nurse Practitioner
  • Katy, TX
  • NPI 1174211437
  Medicare reassignment Care Compare group NPD

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

{
    "created_epoch": "1582329600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1689292800000",
    "number": "1841824489",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1910 ASPLEY CT",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770943431",
            "telephone_number": "484-431-0039"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6630 FM 1463 RD STE A500",
            "city": "KATY",
            "state": "TX",
            "postal_code": "774947526",
            "telephone_number": "346-707-8978",
            "fax_number": "313-457-1003"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SENIOR CARE PROVIDERS PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-02-22",
        "last_updated": "2023-07-14",
        "certification_date": "2023-07-14",
        "status": "A",
        "authorized_official_last_name": "MANSOUR",
        "authorized_official_first_name": "MOHAMED",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "313-945-5450",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "261QP2300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Primary Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "SENIOR CARE PROVIDERS PLLC",
            "code": "5",
            "type": "Other Name"
        },
        {
            "organization_name": "SENIOR CARE PROVIDERS PLLC",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Self-Awareness & Discovery
• Self-Awareness & Discovery, LLC
• Jason Sell, NP
• James Martin Semiene Jr.
• Camila Senatore
• Senior Care Solutions
• Senior Care Solutions, Inc.
• Senior Management Services of Katy Inc (Oakmont Nursing & Rehabilitation Center)
• Melissa Lyn Senior, DC
• Senw DDS PLLC

• Primary Care Clinic/Center in Katy, TX
• Providers in Katy, TX by specialty
• Primary Care Clinic/Center in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 14, 2023; 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.