Provider Demographics
NPI:1467602094
Name:SENSICARE OF SOUTH FLORIDA, INC.
Entity Type:Organization
Organization Name:SENSICARE OF SOUTH FLORIDA, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:VICE PRESIDENT / ADMINISTRATOR
Authorized Official - Prefix:MS
Authorized Official - First Name:KIM
Authorized Official - Middle Name:
Authorized Official - Last Name:SCHILLE
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:305-947-9611
Mailing Address - Street 1:17027 W DIXIE HWY
Mailing Address - Street 2:SUITE 105
Mailing Address - City:NORTH MIAMI BEACH
Mailing Address - State:FL
Mailing Address - Zip Code:33160-3734
Mailing Address - Country:US
Mailing Address - Phone:305-947-9611
Mailing Address - Fax:305-947-9644
Practice Address - Street 1:17027 W DIXIE HWY
Practice Address - Street 2:SUITE 105
Practice Address - City:NORTH MIAMI BEACH
Practice Address - State:FL
Practice Address - Zip Code:33160-3734
Practice Address - Country:US
Practice Address - Phone:305-947-9611
Practice Address - Fax:305-947-9644
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-09-18
Last Update Date:2008-09-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLNR30211278251E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
=========OtherLONG TERM INSURANCE