Provider Demographics
NPI:1164749420
Name:PINELLAS SENIOR CARE LLC
Entity Type:Organization
Organization Name:PINELLAS SENIOR CARE LLC
Other - Org Name:SENIOR HELPERS
Other - Org Type:Doing Business As
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MR
Authorized Official - First Name:DANIEL
Authorized Official - Middle Name:JACOB
Authorized Official - Last Name:GEIER
Authorized Official - Suffix:II
Authorized Official - Credentials:
Authorized Official - Phone:727-210-1414
Mailing Address - Street 1:1679 INDIAN ROCKS RD S
Mailing Address - Street 2:
Mailing Address - City:LARGO
Mailing Address - State:FL
Mailing Address - Zip Code:33774-1036
Mailing Address - Country:US
Mailing Address - Phone:727-210-1414
Mailing Address - Fax:727-210-1413
Practice Address - Street 1:1679 INDIAN ROCKS RD S
Practice Address - Street 2:
Practice Address - City:LARGO
Practice Address - State:FL
Practice Address - Zip Code:33774-1036
Practice Address - Country:US
Practice Address - Phone:727-210-1414
Practice Address - Fax:727-210-1413
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2010-04-27
Last Update Date:2010-04-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLHHA299993366253Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes253Z00000XAgenciesIn Home Supportive Care