Provider Demographics
NPI:1598218208
Name:HEALTHY SENIORS HOME HEALTH
Entity Type:Organization
Organization Name:HEALTHY SENIORS HOME HEALTH
Other - Org Name:HEALTHY SENIORS HOME CARE
Other - Org Type:Doing Business As
Authorized Official - Title/Position:CHIEF EXECUTIVE OFFICER
Authorized Official - Prefix:MR
Authorized Official - First Name:ZACCUR
Authorized Official - Middle Name:
Authorized Official - Last Name:ISAAC
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:239-227-7173
Mailing Address - Street 1:4100 CENTER POINTE DR
Mailing Address - Street 2:SUITE 108
Mailing Address - City:FORT MYERS
Mailing Address - State:FL
Mailing Address - Zip Code:33916-9460
Mailing Address - Country:US
Mailing Address - Phone:239-227-7173
Mailing Address - Fax:
Practice Address - Street 1:4100 CENTER POINTE DR
Practice Address - Street 2:SUITE 108
Practice Address - City:FORT MYERS
Practice Address - State:FL
Practice Address - Zip Code:33916-9460
Practice Address - Country:US
Practice Address - Phone:239-227-7173
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2016-07-28
Last Update Date:2016-07-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FL251E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health