Provider Demographics
NPI:1093246894
Name:SENIOR SAVIORS HOME CARE LLC
Entity Type:Organization
Organization Name:SENIOR SAVIORS HOME CARE LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:
Authorized Official - First Name:STEVEN
Authorized Official - Middle Name:
Authorized Official - Last Name:DOWNEY
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:239-217-7082
Mailing Address - Street 1:1222 SE 47TH ST
Mailing Address - Street 2:SUITE #304
Mailing Address - City:CAPE CORAL
Mailing Address - State:FL
Mailing Address - Zip Code:33904-9661
Mailing Address - Country:US
Mailing Address - Phone:239-217-7082
Mailing Address - Fax:239-540-0733
Practice Address - Street 1:1222 SE 47TH ST
Practice Address - Street 2:SUITE #304
Practice Address - City:CAPE CORAL
Practice Address - State:FL
Practice Address - Zip Code:33904-9661
Practice Address - Country:US
Practice Address - Phone:239-217-7082
Practice Address - Fax:239-540-0733
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2017-03-23
Last Update Date:2017-03-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FL299994580251E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health