SENIOR LIFESTYLE SERVICES, LLC. (NPI# 1629379748) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1629379748 |
| Entity Type | Organization |
| Organization Name | SENIOR LIFESTYLE SERVICES, LLC. |
| Other Organization Name | COMFORCARE SENIOR SERVICES |
| Practice Address |
1 Adams Pl Suite 400 Quincy MA 02169-7482 |
| Mailing Address |
288 Grove St Suite 167 Braintree MA 02184-7209 |
| Practice Telephone | 7813800699 |
| Practice Fax Number | 7814330083 |
| Mailing Telephone | 7813800699 |
| Mailing Fax Number | 7814330083 |
| Enumeration Date | 2010-11-04 |
| Last Update Date | 2010-11-04 |
| Authorized Official Name | MR. STEVEN ROBERT MAXWELL (MANAGING MEMBER) |
| Authorized Official Telephone | 7813800699 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 251E00000X | Home Health | 7235 | MA | Agencies |
| Other Name | Type Code |
|---|---|
| ComForcare Senior Services | Doing Business As Name - Organization |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| Massachusetts Corporations | SENIOR LIFESTYLE SERVICES, LLC | 1 Adams Place Suite 400, 859 Willard Street, Quincy, MA 02169 |
| Street Address |
1 ADAMS PL SUITE 400 |
| City | QUINCY |
| State | MA |
| Zip Code | 02169-7482 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1558816629 | Tracy Ann Coval | Social Worker | 1 Adams Pl, Quincy, MA 02169-7482 | 2016-08-18 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1902427933 | Trinasia Jones | Counselor | 80 Quarry Street, 3, Quincy, MA 02169 | 2020-04-30 |
| 1164060778 | Bid-milton Physician Associates Inc | Clinic/Center | 100 Walter J. Hannon Pkwy, Quincy, MA 02169 | 2019-12-13 |
| 1669028064 | Renee Yvette Belisle | Occupational Therapist | 1266 Furnance Brook Parkway, Suite #100b, Quincy, MA 02169 | 2019-08-13 |
| 1952953713 | Phuc Thi Diem Ho | Registered Nurse | 18 Rustic Place, Quincy, MA 02169 | 2019-07-11 |
| 1518451939 | Lucille Jordan | Social Worker | 1175 Sea St, Quincy, MA 02169 | 2018-06-19 |
| 1326567447 | Tara Barney | Counselor | 290 Quarry Street Apt. 112, Quincy, MA 02169 | 2017-09-11 |
| 1295251007 | Iona Dental, P.C. (parent Organization) | Dentist | 10 Granite Street, Unit - 4c, Quincy, MA 02169 | 2017-08-15 |
| 1730610247 | Amy S. Chung | Family Medicine | 100 Walter J. Hannon Parkway, Quincy, MA 02169 | 2017-03-26 |
| 1205377314 | Wing Man Ting | Counselor | 2 Moon Island Road, Quincy, MA 02169 | 2017-03-09 |
| 1740726223 | Cameron James Dumas | Pharmacist | 21 23 Stanhope Street, Boston, MA 02169 | 2017-01-09 |
| Find all providers in zip 02169 | ||||
| Taxonomy Code | 251E00000X |
| Grouping | Agencies |
| Classification | Home Health |
| A public agency or private organization, or a subdivision of such an agency or organization, that is primarily engaged in providing skilled nursing services and other therapeutic services, such as physical therapy, speech-language pathology services, or occupational therapy, medical social services, and home health aide services. It has policies established by a professional group associated with the agency or organization (including at least one physician and one registered nurse) to govern the services and provides for supervision of such services by a physician or a registered nurse; maintains clinical records on all patients; is licensed in accordance with State or local law or is approved by the State or local licensing agency as meeting the licensing standards, where applicable; and meets other conditions found by the Secretary of Health and Human Services to be necessary for health and safety. |
| Notes: Source: CFR42 Chapter IV Part 484, http://www.access.gpo.gov/nara/cfr/waisidx_99/42cfr484_99.html [7/1/2007: definition added, source added] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1588264519 | Kendra Renea Chambers | Home Health | 78 Sims Rd, Quincy, FL 32352-6431 | 2020-10-28 |
| 1174179774 | Juanita Bell | Home Health | 440 S Cone St, Quincy, FL 32351-3516 | 2019-08-11 |
| 1699334722 | Loving Care At Home LLC | Home Health | 1804 Martin Luther King Jr Blvd, Quincy, FL 32351-3562 | 2019-06-12 |
| 1548829237 | Naeisha Sanders | Home Health | 105 Mary Brown Rd, Quincy, FL 32352-0394 | 2019-06-06 |
| 1922567627 | Porschia Moteka Johnson | Home Health | 1804 Mlk Jr Blvd, Quincy, FL 32351 | 2019-03-13 |
| 1730656661 | Jane Garrett | Home Health | 253 Sims Rd, Quincy, FL 32352-6435 | 2018-10-29 |
| 1912371584 | Presidential Home Health Care LLC | Home Health | 1539 Hancock St, 2nd Floor, Suite 1, Quincy, MA 02169 | 2015-11-19 |
| 1629457288 | Rudd's Pest Control Inc. | Home Health | 377 Rudd Rd, Quincy, FL 32351-7706 | 2015-05-28 |
| 1386054419 | 4js Adl Services LLC | Home Health | 1029 W Clark St, Quincy, FL 32351-2903 | 2014-04-28 |
| 1912294240 | Anns Homehealth, LLC | Home Health | 895 Ely Rd, 750 State Road, Quincy, MI 49082-9469 | 2011-07-07 |
| Find all providers in QUINCY | ||||
Please comment or provide details below to improve the information on SENIOR LIFESTYLE SERVICES, LLC..
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.