Provider Demographics
NPI:1376772897
Name:PARTNERS IN SENIOR CARE LLC.
Entity Type:Organization
Organization Name:PARTNERS IN SENIOR CARE LLC.
Other - Org Name:PARTNERS IN CARE LLC.
Other - Org Type:Former Legal Business Name
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MR
Authorized Official - First Name:SHIV
Authorized Official - Middle Name:
Authorized Official - Last Name:PURI
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:386-255-0645
Mailing Address - Street 1:1901 MASON AVENUE
Mailing Address - Street 2:SUITE 102
Mailing Address - City:DAYTONA BEACH
Mailing Address - State:FL
Mailing Address - Zip Code:32117-5105
Mailing Address - Country:US
Mailing Address - Phone:386-255-0645
Mailing Address - Fax:386-255-6222
Practice Address - Street 1:1901 MASON AVENUE
Practice Address - Street 2:SUITE 102
Practice Address - City:DAYTONA BEACH
Practice Address - State:FL
Practice Address - Zip Code:32117-5105
Practice Address - Country:US
Practice Address - Phone:386-255-0645
Practice Address - Fax:386-255-6222
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2009-07-06
Last Update Date:2022-12-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FL299992687251E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health