Senior Edge Healthcare LLC

Primary specialty

Assisted Living FacilityTaxonomy code 310400000X

License

751 Issued in MS

Legal business name

SENIOR EDGE HEALTHCARE LLC

Practice address

200 Knight Dr
Saltillo, MS 38866-9182

Phone

(662) 869-7009

NPI assigned

Oct 8, 2015

Last updated

Oct 8, 2015By 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

Jessica Arnold

Title

Owner

Phone

(662) 416-5000

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1444262400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1444262400000",
    "number": "1932570652",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "200 KNIGHT DR",
            "city": "SALTILLO",
            "state": "MS",
            "postal_code": "388669182",
            "telephone_number": "662-869-7009",
            "fax_number": "662-869-7891"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "200 KNIGHT DR",
            "city": "SALTILLO",
            "state": "MS",
            "postal_code": "388669182",
            "telephone_number": "662-869-7009"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SENIOR EDGE HEALTHCARE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-10-08",
        "last_updated": "2015-10-08",
        "status": "A",
        "authorized_official_last_name": "ARNOLD",
        "authorized_official_first_name": "JESSICA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "662-416-5000"
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": "MS",
            "license": "751",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Saltillo Assisted Living, LLC
• Saltillo Pharmacy Services LLC (Saltillo Pharmacy and Solutions)
• Saltillo Pharmacy Services LLC (Saltillo Pharmacy and Solutions)
• Marlee Samples, OT
• Katelyn Sanders, DNP, FNP-BC
• Silver Care Services, Inc. (Comfort Keepers)
• Cynthia H Smith, RD
• Janet H Smith, P.T.
• Donald E Stanford, PA
• Strickland Home Care LLC (Right at Home)

• Assisted Living Facility in Saltillo, MS
• Providers in Saltillo, MS by specialty
• Assisted Living Facility in Mississippi

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 8, 2015; 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.