COMMUNITY SENIORSERV, INC. (NPI# 1780951632) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1780951632 |
Entity Type | Organization |
Organization Name | COMMUNITY SENIORSERV, INC. |
Practice Address |
1200 N Knollwood Cir Anaheim CA 92801-1309 |
Practice Telephone | 7142200224 |
Practice Fax Number | 7148167397 |
Mailing Telephone | 7142200224 |
Mailing Fax Number | 7148167397 |
Enumeration Date | 2011-11-21 |
Last Update Date | 2011-11-21 |
Authorized Official Name | MRS. HOLLY HAGLER (CEO) |
Authorized Official Telephone | 7142200224 |
Is Organization Subpart | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 332U00000X | Home Delivered Meals | BUS2007-04335 | CA | Suppliers |
State | Issuer | Identifier | Type Code |
---|---|---|---|
CA | 1770709305 | 05 | |
CA | 1710104344 | 05 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1710104344 | Community Seniorserv, Inc. | Clinic/Center | 1101 S Grand Ave, Santa Ana, CA 92705-4100 | 2007-04-18 |
1770709305 | Community Seniorserv, Inc. | Clinic/Center | 1158 N Knollwood Cir, Anaheim, CA 92801-1307 | 2007-04-18 |
Street Address |
1200 N KNOLLWOOD CIR |
City | ANAHEIM |
State | CA |
Zip Code | 92801-1309 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1043553142 | Seniorserv, Inc. | Case Management | 1200 N Knollwood Cir, Anaheim, CA 92801-1309 | 2013-03-27 |
1962744193 | Seniorserv, Inc. | Home Delivered Meals | 1200 N Knollwood Cir, Anaheim, CA 92801-1309 | 2013-03-26 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1376178996 | Megalink Staffing Services Corp. | Non-emergency Medical Transport (VAN) | 780 N. Euclid St., Suite 207, Anaheim, CA 92801 | 2020-03-04 |
1669988630 | Munoz Urgent Care Inc. | Clinic/Center | 1741 W Romneya Dr., Suite A, Anaheim, CA 92801 | 2017-12-28 |
1922523257 | Enrique Esparza Jr. | Peer Specialist | 501 North Brookhurst Street, Anahiem, CA 92801 | 2017-08-08 |
1336689405 | Lan P. Tran | Pharmacist | 2308 W Huntington Ave, Anaheim, CA 92801 | 2017-03-08 |
1982065447 | Giselle Magdaleno | Marriage & Family Therapist | 505 N Euclid St #300, Anaheim, CA 92801 | 2016-03-11 |
1346605433 | Esther Chong | Nurse Practitioner | 710 N. Euclid St., 400, Anaheim, CA 92801 | 2015-12-16 |
1629441183 | Caremore Health Plan | Nurse Practitioner | 1182 N. Euclid Street, Anaheim, CA 92801 | 2015-11-05 |
1205208451 | Uyen Diem Ngo | Pharmacist | 1188 N. Euclid St., Anaheim, CA 92801 | 2015-10-28 |
1962873729 | Herb and Acu | Acupuncturist | 1737 W. Romneya Dr., Anaheim, CA 92801 | 2015-10-19 |
1437535721 | Yessenia Alvarado | Marriage & Family Therapist | 505 N. Euclid Street, Suite 300, Anaheim, CA 92801 | 2015-08-10 |
Find all providers in zip 92801 |
Taxonomy Code | 332U00000X |
Grouping | Suppliers |
Classification | Home Delivered Meals |
Home-delivered meals are those services or activities designed to prepare and deliver one or more meals a day to an individual's residence in order to prevent institutionalization, malnutrition, and feelings of isolation. Component services or activities may include the cost of personnel, equipment, and food; assessment of nutritional and dietary needs; nutritional education and counseling; socialization services; and information and referral. |
Notes: Source: Code of Federal Regulations #45, Part 96, Appendix A, Uniform Definition of Services. |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1962744193 | Seniorserv, Inc. | Home Delivered Meals | 1200 N Knollwood Cir, Anaheim, CA 92801-1309 | 2013-03-26 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1023619418 | Teen Kitchen Project | Home Delivered Meals | 2880 Research Park Dr Ste 200, Soquel, CA 95073-2042 | 2020-11-03 |
1982212254 | Sacremento Theological Seminary and Bible College | Home Delivered Meals | 64680 Pierson Blvd, Desert Hot Springs, CA 92240-2910 | 2020-07-22 |
1134693039 | Cleanslate Health Inc | Home Delivered Meals | 101 Polk St Unit 804, San Francisco, CA 94102-4758 | 2019-01-15 |
1346723434 | Mama's Kitchen | Home Delivered Meals | 3960 Home Ave, San Diego, CA 92105-5925 | 2018-09-13 |
1205225711 | Project Angel Food | Home Delivered Meals | 922 Vine St, Los Angeles, CA 90038-2702 | 2015-01-21 |
1386068500 | Compass Group Usa, Inc. By & Through It Bateman Division | Home Delivered Meals | 849 F St, West Sacramento, CA 95605-2313 | 2014-02-07 |
1346688496 | Alfonso Ovidio Casta Sr. | Home Delivered Meals | 6331 Santa Fe Avenue, Huntington Park, CA 90255-3805 | 2013-06-11 |
1558642199 | Individualitea and Coffee Company | Home Delivered Meals | 14401 Newport Ave, Tustin, CA 92780-5611 | 2011-09-08 |
1457683237 | The Paradise | Home Delivered Meals | 659 S Sate College Blvd., Ste. 51, Fullerton, CA 92831 | 2010-02-04 |
1205164837 | Kenady Corporation | Home Delivered Meals | 1202 Mcgaw Ave, Irvine, CA 92614-5537 | 2009-11-19 |
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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.