Senior Services of Van Buren Co.

Primary specialty

In Home Supportive Care AgencyTaxonomy code 253Z00000X

Legal business name

SENIOR SERVICES OF VAN BUREN CO.

Practice address

220 Broadway St
South Haven, MI 49090-2511

Phone

(269) 637-3607

Fax

(269) 637-0218

NPI assigned

Sep 26, 2013

Organization subpart

No

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

Authorized official

Name

Ms. Jennifer Joy Carver

Title

Director

Phone

(269) 637-3607

Specialties & licenses 1

Addresses

Other names 1

• South Haven Area Senior Services Former legal business name

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

{
    "created_epoch": "1380153600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1380153600000",
    "number": "1871920504",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "220 BROADWAY ST",
            "city": "SOUTH HAVEN",
            "state": "MI",
            "postal_code": "490902511",
            "telephone_number": "269-637-3607",
            "fax_number": "269-637-0218"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "220 BROADWAY ST",
            "city": "SOUTH HAVEN",
            "state": "MI",
            "postal_code": "490902511",
            "telephone_number": "269-637-3607",
            "fax_number": "269-637-0218"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SENIOR SERVICES OF VAN BUREN CO.",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-09-26",
        "last_updated": "2013-09-26",
        "status": "A",
        "authorized_official_last_name": "CARVER",
        "authorized_official_first_name": "JENNIFER",
        "authorized_official_middle_name": "JOY",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "269-637-3607",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "South Haven Area Senior Services",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

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• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 26, 2013; 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.