Provider Demographics
NPI:1518998418
Name:SAFE 4 SENIORS LLC
Entity Type:Organization
Organization Name:SAFE 4 SENIORS LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:RACHEL
Authorized Official - Middle Name:
Authorized Official - Last Name:SLOVAN
Authorized Official - Suffix:
Authorized Official - Credentials:DPT
Authorized Official - Phone:954-815-4081
Mailing Address - Street 1:2061 ASHBURTON WAY
Mailing Address - Street 2:
Mailing Address - City:MT PLEASANT
Mailing Address - State:SC
Mailing Address - Zip Code:29466-6877
Mailing Address - Country:US
Mailing Address - Phone:954-815-4081
Mailing Address - Fax:
Practice Address - Street 1:9240 SW 55TH ST
Practice Address - Street 2:
Practice Address - City:COOPER CITY
Practice Address - State:FL
Practice Address - Zip Code:33328-5814
Practice Address - Country:US
Practice Address - Phone:954-815-4081
Practice Address - Fax:954-735-3385
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-07-06
Last Update Date:2007-11-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLPT21011261QP2000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QP2000XAmbulatory Health Care FacilitiesClinic/CenterPhysical Therapy
Provider Identifiers
StateIdentifier IDID TypeIssuer
SC8817Medicare PIN
FLU2090YMedicare UPIN
SCQ34524Medicare UPIN
FLK6704Medicare UPIN
FLE6493YMedicare UPIN