Organization
SENIOR CARE SERVICE LLC
Active
Other names
ActivStyle
Organization subpart
No
Provider details
NPI number
Authorized official
DARRELL DOUGLAS RAWLINGS (CEO)
(612) 895-7815
Entity
Organization
Contact information
Practice address
565 S COMMERCIAL DR, GRAND JUNCTION, CO 81505-6900
(970) 812-0811
(800) 880-6549
Mailing address
1055 WESTGATE DR STE 100, SAINT PAUL, MN 55114-1451
(800) 651-6223
(866) 896-7171
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
02542390000
CO
332BP3500X
Parenteral & Enteral Nutrition Supplies (DME)
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0005603183
—
MT
05
—
0012521830002
—
PA
05
—
3085727
—
NH
05
—
4996909
—
NJ
05
—
6797008 00
—
MD
05
—
73489
—
NM
05
—
805602500
—
ID
05
—
88103811
—
CO
05
—
88103811
—
OH
05
—
9032087
—
WA
Enumeration date
09/09/2005
Last updated
10/31/2025
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