Provider Demographics
NPI:1477984474
Name:SENIORS AND YOU LLC
Entity Type:Organization
Organization Name:SENIORS AND YOU LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:EXECUTIVE DIRECTOR
Authorized Official - Prefix:MS
Authorized Official - First Name:SUSIETT
Authorized Official - Middle Name:NMN
Authorized Official - Last Name:MOUNT
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:727-869-2580
Mailing Address - Street 1:12024 HUDSON RIDGE DR APT 103
Mailing Address - Street 2:
Mailing Address - City:PORT RICHEY
Mailing Address - State:FL
Mailing Address - Zip Code:34668-1986
Mailing Address - Country:US
Mailing Address - Phone:727-869-2580
Mailing Address - Fax:
Practice Address - Street 1:12024 HUDSON RIDGE DR APT 103
Practice Address - Street 2:
Practice Address - City:PORT RICHEY
Practice Address - State:FL
Practice Address - Zip Code:34668-1986
Practice Address - Country:US
Practice Address - Phone:727-869-2580
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2013-12-02
Last Update Date:2013-12-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FL228422253Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes253Z00000XAgenciesIn Home Supportive Care
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL685121500Medicaid