Senior Resources Healthcare Services,LLC

Primary specialty

Respite CareTaxonomy code 385H00000X

License

05150307 Issued in MS

Legal business name

SENIOR RESOURCES HEALTHCARE SERVICES,LLC

Practice address

623 Orchid CT
Jackson, MS 39206-2427

Phone

(769) 798-3490

Fax

(601) 991-1909

NPI assigned

Sep 22, 2011

Last updated

Sep 22, 2011By 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

Ms. Tonya Caples

Title

Ceo/Director

Phone

(769) 798-3490

Specialties & licenses 1

Addresses

Other identifiers 2

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

{
    "created_epoch": "1316649600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1316649600000",
    "number": "1891078135",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "623 ORCHID CT",
            "city": "JACKSON",
            "state": "MS",
            "postal_code": "392062427",
            "telephone_number": "769-798-3490",
            "fax_number": "601-991-1909"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "623 ORCHID CT",
            "city": "JACKSON",
            "state": "MS",
            "postal_code": "392062427",
            "telephone_number": "769-798-3490",
            "fax_number": "601-991-1909"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SENIOR RESOURCES HEALTHCARE SERVICES,LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-09-22",
        "last_updated": "2011-09-22",
        "status": "A",
        "authorized_official_last_name": "CAPLES",
        "authorized_official_first_name": "TONYA",
        "authorized_official_title_or_position": "CEO/DIRECTOR",
        "authorized_official_telephone_number": "769-798-3490",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "385H00000X",
            "taxonomy_group": "",
            "desc": "Respite Care",
            "state": "MS",
            "license": "05150307",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICAID ELDERLY AND DISABLED WAIVER PROGRAM (RESPITE)",
            "identifier": "04775206",
            "state": "MS"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICAID ELDERLY AND DISABLED WAIVER PROGRAM ( HOMEMAKER)",
            "identifier": "05150307",
            "state": "MS"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Gary Dwayne Self
• Morgan Elizabeth Self
• Lyser N Selmon
• Nancy Selph
• Senior Care Centers of Mississippi, LLC (Baptist Adult Day Health Services of N. Jackson)
• Senior Services, LLC (Northtown Adult Daycare)
• Cynthia Lynne Senior, RDH
• Michal Senitko, M.D.
• Bruce Stocker Senter, MD
• Suzanne Senter, MD

• Respite Care in Jackson, MS
• Providers in Jackson, MS by specialty
• Respite Care in Mississippi

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 22, 2011; 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.