Provider Demographics
NPI:1780907469
Name:SENIORBRIDGE FAMILY COMPANIES (FL), INC.
Entity type:Organization
Organization Name:SENIORBRIDGE FAMILY COMPANIES (FL), INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DIRECTOR OF CLINICAL QUALITY
Authorized Official - Prefix:
Authorized Official - First Name:DOROTHY
Authorized Official - Middle Name:M
Authorized Official - Last Name:BURNS
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:321-258-7709
Mailing Address - Street 1:845 3RD AVE
Mailing Address - Street 2:7TH FLOOR
Mailing Address - City:NEW YORK
Mailing Address - State:NY
Mailing Address - Zip Code:10022-6601
Mailing Address - Country:US
Mailing Address - Phone:212-994-6100
Mailing Address - Fax:212-994-4260
Practice Address - Street 1:1900 S HARBOR CITY BLVD STE 203
Practice Address - Street 2:
Practice Address - City:MELBOURNE
Practice Address - State:FL
Practice Address - Zip Code:32901-4700
Practice Address - Country:US
Practice Address - Phone:321-728-9530
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:SENIORBRIDGE FAMILY COMPANIES, INC.
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2010-03-09
Last Update Date:2022-06-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FL299993355251E00000X, 253Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes253Z00000XAgenciesIn Home Supportive Care
No251E00000XAgenciesHome Health