Provider Demographics
NPI:1942266754
Name:SEVEN ELDERLY CARE
Entity Type:Organization
Organization Name:SEVEN ELDERLY CARE
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDNT
Authorized Official - Prefix:MR
Authorized Official - First Name:PABLO
Authorized Official - Middle Name:MARCOS
Authorized Official - Last Name:AGUILERA
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:305-512-0102
Mailing Address - Street 1:6132 W 14TH LN
Mailing Address - Street 2:
Mailing Address - City:HIALEAH
Mailing Address - State:FL
Mailing Address - Zip Code:33012-6257
Mailing Address - Country:US
Mailing Address - Phone:305-512-0102
Mailing Address - Fax:305-882-7083
Practice Address - Street 1:6132 W 14TH LN
Practice Address - Street 2:
Practice Address - City:HIALEAH
Practice Address - State:FL
Practice Address - Zip Code:33012-6257
Practice Address - Country:US
Practice Address - Phone:305-512-0102
Practice Address - Fax:305-882-7083
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-04-21
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLAL9327310400000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes310400000XNursing & Custodial Care FacilitiesAssisted Living Facility
Provider Identifiers
StateIdentifier IDID TypeIssuer
FLAL 9327OtherALF STANDAR LICENSE