Senior Community Services
Organization Active NPI Bus · Minnetonka, MN
NPI 1952534232 · NPPES record last updated Sep 2, 2009
Key facts
- NPI
- 1952534232
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Bus 347B00000X
- License
- 153608 (MN)
- Legal business name
- SENIOR COMMUNITY SERVICES
- Practice address
- 10709 Wayzata Blvd
Suite 111
Minnetonka, MN 55305-5509 - Phone
- (952) 541-1019
- Fax
- (952) 541-0841
- NPI assigned
- Sep 2, 2009
- Organization subpart
- No
Authorized official
- Name
- Mr. Benjamin Withhart
- Title
- Chief Executive Officer
- Phone
- (952) 541-1019
Subparts reporting this organization as parent 1
Corporate family (same tax ID) 1
National Provider Directory
- Tax ID family
- Senior Community Services
Locations
10709 Wayzata Blvd
Ste 111
Minnetonka, MN 55305
Phone (952) 541-1019
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Bus | 347B00000X | 153608 | MN | Yes |
Addresses
Primary practice location
10709 Wayzata Blvd
Suite 111
Minnetonka, MN 55305-5509
Mailing address
10709 Wayzata Blvd
Suite 111
Minnetonka, MN 55305-5509
Phone (952) 541-1019
Other providers in Minnetonka, MN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Sep 2, 2009. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.