Provider Demographics
NPI:1457222598
Name:SENIOR INDEPENDENCE SPECIALISTS, INC
Entity type:Organization
Organization Name:SENIOR INDEPENDENCE SPECIALISTS, INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MR
Authorized Official - First Name:ARON
Authorized Official - Middle Name:D
Authorized Official - Last Name:LANEY
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:619-402-6138
Mailing Address - Street 1:1111 9TH ST STE 202A
Mailing Address - Street 2:
Mailing Address - City:CORONADO
Mailing Address - State:CA
Mailing Address - Zip Code:92118-2654
Mailing Address - Country:US
Mailing Address - Phone:619-880-5522
Mailing Address - Fax:619-317-0194
Practice Address - Street 1:1111 9TH ST STE 202A
Practice Address - Street 2:
Practice Address - City:CORONADO
Practice Address - State:CA
Practice Address - Zip Code:92118-2654
Practice Address - Country:US
Practice Address - Phone:619-880-5522
Practice Address - Fax:619-317-0194
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-09-12
Last Update Date:2025-09-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes253Z00000XAgenciesIn Home Supportive Care