Organization Name: | SENIOR INDEPENDENCE |
NPI Number: | 1881634939 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | CONNIE TOSTEVIN (CHIEF NURSING OFFICER) |
Mailing Address: | 6555 Busch Blvd Suite 200 Columbus |
State: | OH US |
Postal Code: | 432291739 |
Phone Number: | 6144330031 |
Fax Number: | 6144330550 |
NPI Enumeration Date: | 06/07/2006 |
NPI Last Update Date: | 08/13/2015 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 251G00000X |
License Number: | APPLIED FOR |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | OH |
Taxonomy Type: | Agencies |
Taxonomy Classification: | Hospice Care, Community Based |
Taxonomy Specialization: | |
Taxonomy Definition: |