Provider Demographics
NPI:1982461034
Name:CENTRAL SENIOR HOME CARE CORP
Entity Type:Organization
Organization Name:CENTRAL SENIOR HOME CARE CORP
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:CARLOS
Authorized Official - Middle Name:A
Authorized Official - Last Name:DIAZ
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:813-802-0640
Mailing Address - Street 1:2701 W BUSCH BLVD STE 104
Mailing Address - Street 2:
Mailing Address - City:TAMPA
Mailing Address - State:FL
Mailing Address - Zip Code:33618-4577
Mailing Address - Country:US
Mailing Address - Phone:813-317-5677
Mailing Address - Fax:813-200-1210
Practice Address - Street 1:2701 W BUSCH BLVD STE 104
Practice Address - Street 2:
Practice Address - City:TAMPA
Practice Address - State:FL
Practice Address - Zip Code:33618-4577
Practice Address - Country:US
Practice Address - Phone:813-317-5677
Practice Address - Fax:813-200-1210
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-03-05
Last Update Date:2024-03-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health