Provider Demographics
NPI:1528887692
Name:SENIORS HEALTH COVERAGE LLC
Entity type:Organization
Organization Name:SENIORS HEALTH COVERAGE LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:ENROLLMENT COUNSELOR
Authorized Official - Prefix:
Authorized Official - First Name:ELISA
Authorized Official - Middle Name:
Authorized Official - Last Name:STROFFOLINO
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:951-207-2647
Mailing Address - Street 1:7050 ALVISO AVE
Mailing Address - Street 2:
Mailing Address - City:RIVERSIDE
Mailing Address - State:CA
Mailing Address - Zip Code:92509-6316
Mailing Address - Country:US
Mailing Address - Phone:951-207-2647
Mailing Address - Fax:
Practice Address - Street 1:7050 ALVISO AVE
Practice Address - Street 2:
Practice Address - City:RIVERSIDE
Practice Address - State:CA
Practice Address - Zip Code:92509-6316
Practice Address - Country:US
Practice Address - Phone:951-207-2647
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:OPEN WEST INSURANCE SOLUTION
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2024-10-07
Last Update Date:2024-11-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101Y00000XBehavioral Health & Social Service ProvidersCounselorGroup - Multi-Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
CA1000018806Medicaid