Senior Care of Columbus

Primary specialty

Home Health AgencyTaxonomy code 251E00000X

License

106-R-0035 Issued in GA

Legal business name

SENIOR CARE OF COLUMBUS

Practice address

6400 Bradley Park Dr
Suite a-1
Columbus, GA 31904-3615

Phone

(706) 507-0552

NPI assigned

Jun 7, 2007

Organization subpart

No

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

Authorized official

Name

Ms. Della Upshaw

Title

Ceo

Phone

(706) 464-2009

Specialties & licenses 1

Addresses

Other identifiers 2

Locations

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

{
    "created_epoch": "1181174400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1237248000000",
    "number": "1912100090",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6400 BRADLEY PARK DR",
            "city": "COLUMBUS",
            "state": "GA",
            "postal_code": "319043615",
            "telephone_number": "706-507-0552"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6400 BRADLEY PARK DR",
            "address_2": "SUITE A-1",
            "city": "COLUMBUS",
            "state": "GA",
            "postal_code": "319043615",
            "telephone_number": "706-507-0552"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SENIOR CARE OF COLUMBUS",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-06-07",
        "last_updated": "2009-03-17",
        "status": "A",
        "authorized_official_last_name": "UPSHAW",
        "authorized_official_first_name": "DELLA",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "706-464-2009",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "GA",
            "license": "106-R-0035",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "175352881A",
            "state": "GA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "175352881B",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Deztini Sellers
• Tiffany Sellers, PH.D
• Rachel Patrick Selman, PT, DPT
• Jaynali Senethavisouk
• Senior Angel Companions
• Senior Plus Healthcare Inc.
• Senior Steps LLC
• Johnny Senior
• Eric Ryan Senn, D.O.
• Sensorre Home Health Services

• Home Health Agency in Columbus, GA
• Providers in Columbus, GA by specialty
• Home Health Agency in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 17, 2009; 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.