Provider Demographics
NPI:1255671772
Name:HELIN, JENNIFER
Entity Type:Individual
Prefix:
First Name:JENNIFER
Middle Name:
Last Name:HELIN
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:SENIORS
Other - Middle Name:HELPING
Other - Last Name:SENIORS
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:
Mailing Address - Street 1:116 DELVALLE ST
Mailing Address - Street 2:
Mailing Address - City:MELBOURNE BEACH
Mailing Address - State:FL
Mailing Address - Zip Code:32951-3819
Mailing Address - Country:US
Mailing Address - Phone:321-722-2999
Mailing Address - Fax:321-956-6486
Practice Address - Street 1:1344 S APOLLO BLVD STE 2C
Practice Address - Street 2:
Practice Address - City:MELBOURNE
Practice Address - State:FL
Practice Address - Zip Code:32901-3183
Practice Address - Country:US
Practice Address - Phone:321-722-2999
Practice Address - Fax:321-956-6486
Is Sole Proprietor?:No
Enumeration Date:2013-02-20
Last Update Date:2023-06-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FL232571376J00000X, 372600000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes376J00000XNursing Service Related ProvidersHomemaker
No372600000XNursing Service Related ProvidersAdult Companion
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL232571OtherAHCA