Provider Demographics
NPI:1265663744
Name:KAREN'S SENIOR CARE INC.
Entity Type:Organization
Organization Name:KAREN'S SENIOR CARE INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:KAREN
Authorized Official - Middle Name:L
Authorized Official - Last Name:ALBA
Authorized Official - Suffix:
Authorized Official - Credentials:LCSW
Authorized Official - Phone:954-682-7987
Mailing Address - Street 1:8801 NW 38TH DR
Mailing Address - Street 2:103
Mailing Address - City:CORAL SPRINGS
Mailing Address - State:FL
Mailing Address - Zip Code:33065-4376
Mailing Address - Country:US
Mailing Address - Phone:954-682-7987
Mailing Address - Fax:
Practice Address - Street 1:8801 NW 38TH DR
Practice Address - Street 2:103
Practice Address - City:CORAL SPRINGS
Practice Address - State:FL
Practice Address - Zip Code:33065-4376
Practice Address - Country:US
Practice Address - Phone:954-682-7987
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2009-08-02
Last Update Date:2011-04-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLSW74261041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinicalGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
FLCC948YMedicare UPIN