Provider Demographics
NPI:1720363179
Name:CARDINAL OVERHEAD, LLC
Entity Type:Organization
Organization Name:CARDINAL OVERHEAD, LLC
Other - Org Name:SENIORS HELPING SENIORS
Other - Org Type:Doing Business As
Authorized Official - Title/Position:MEMBER
Authorized Official - Prefix:MRS
Authorized Official - First Name:RAJITHA
Authorized Official - Middle Name:
Authorized Official - Last Name:SOLECKI
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:361-960-8401
Mailing Address - Street 1:3206 TURKEY HOLLOW CT
Mailing Address - Street 2:
Mailing Address - City:CORPUS CHRISTI
Mailing Address - State:TX
Mailing Address - Zip Code:78414-3878
Mailing Address - Country:US
Mailing Address - Phone:361-960-8401
Mailing Address - Fax:
Practice Address - Street 1:3837 S PADRE ISLAND DR
Practice Address - Street 2:
Practice Address - City:CORPUS CHRISTI
Practice Address - State:TX
Practice Address - Zip Code:78415-2919
Practice Address - Country:US
Practice Address - Phone:361-792-0144
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2011-10-17
Last Update Date:2011-10-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes385H00000XRespite Care FacilityRespite Care