# SENIORCARE HOMES LLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1639313067
- **Authorized official:** MR. JERALD LESLIE PULLINS JR. (PRESIDENT)
- **Authorized official phone:** (913) 236-0036

## Contact information

- **Practice address:** 6918 W 68TH ST, OVERLAND PARK, KS 66204-1301
- **Practice address phone:** (913) 236-0036
- **Mailing address:** 5200 W 94TH TER, SUITE 115, PRAIRIE VILLAGE, KS 66207-2522
- **Mailing address phone:** (913) 236-0036
- **Mailing address fax:** (913) 432-3055

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 311ZA0620X | Adult Care Home Facility | B046036 | KS | — |
| 311ZA0620X | Adult Care Home Facility | B046040 | KS | Yes |

## Other

- **Enumeration date:** 04/29/2009
- **Last updated:** 04/29/2009