Provider Demographics
NPI:1821043720
Name:SENIOR HOME CONNECTIONS, LLC
Entity Type:Organization
Organization Name:SENIOR HOME CONNECTIONS, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DIRECTOR/OWNER
Authorized Official - Prefix:MS
Authorized Official - First Name:BETH
Authorized Official - Middle Name:LARSON
Authorized Official - Last Name:WARRINER
Authorized Official - Suffix:
Authorized Official - Credentials:LCSW
Authorized Official - Phone:941-349-1013
Mailing Address - Street 1:5053 OCEAN BLVD
Mailing Address - Street 2:
Mailing Address - City:SARASOTA
Mailing Address - State:FL
Mailing Address - Zip Code:34242-1607
Mailing Address - Country:US
Mailing Address - Phone:941-349-1013
Mailing Address - Fax:941-349-1013
Practice Address - Street 1:4923 COMMONWEALTH DR
Practice Address - Street 2:
Practice Address - City:SARASOTA
Practice Address - State:FL
Practice Address - Zip Code:34242-1421
Practice Address - Country:US
Practice Address - Phone:941-349-1013
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-05-23
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLSW13881041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinicalGroup - Single Specialty