Provider Demographics
NPI:1912637075
Name:SENIOR CARE OF NE FLORIDA, LLC.
Entity Type:Organization
Organization Name:SENIOR CARE OF NE FLORIDA, LLC.
Other - Org Name:SENIORS HELPING SENIORS
Other - Org Type:Doing Business As
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MR
Authorized Official - First Name:TYLER
Authorized Official - Middle Name:
Authorized Official - Last Name:WHITMAN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:407-949-8272
Mailing Address - Street 1:10151 DEERWOOD PARK BLVD. BLDG. 200 STE 250
Mailing Address - Street 2:
Mailing Address - City:JACKSONVILLE
Mailing Address - State:FL
Mailing Address - Zip Code:32256-7302
Mailing Address - Country:US
Mailing Address - Phone:904-344-8826
Mailing Address - Fax:
Practice Address - Street 1:10151 DEERWOOD PARK BLVD. BLDG. 200 STE 250
Practice Address - Street 2:
Practice Address - City:JACKSONVILLE
Practice Address - State:FL
Practice Address - Zip Code:32256-7302
Practice Address - Country:US
Practice Address - Phone:904-344-8826
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-06-13
Last Update Date:2023-03-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes253Z00000XAgenciesIn Home Supportive Care
No251E00000XAgenciesHome Health