Provider Demographics
NPI:1619624392
Name:HATIKVAH FOR SENIORS
Entity type:Organization
Organization Name:HATIKVAH FOR SENIORS
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MRS
Authorized Official - First Name:MARIA
Authorized Official - Middle Name:MERCEDES
Authorized Official - Last Name:GARCIA
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:813-998-4072
Mailing Address - Street 1:3314 HENDERSON BLVD STE 100B
Mailing Address - Street 2:
Mailing Address - City:TAMPA
Mailing Address - State:FL
Mailing Address - Zip Code:33609-2999
Mailing Address - Country:US
Mailing Address - Phone:813-998-4072
Mailing Address - Fax:813-374-7797
Practice Address - Street 1:3314 HENDERSON BLVD STE 100B
Practice Address - Street 2:
Practice Address - City:TAMPA
Practice Address - State:FL
Practice Address - Zip Code:33609-2999
Practice Address - Country:US
Practice Address - Phone:813-998-4072
Practice Address - Fax:813-374-7797
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-03-03
Last Update Date:2024-08-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health