Active NPI
Senior Healthcare Services LLC
- Podiatrist
- Miami Beach, FL
National Provider Identifier
1053282715
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Podiatrist
- Legal business name
- SENIOR HEALTHCARE SERVICES LLC
- Practice address
- 1111 Lincoln Rd Ste 500
Miami Beach, FL 33139-2439 - Phone
- (404) 626-8957
- NPI assigned
- Sep 16, 2025
- Last updated
- Sep 16, 2025
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Cordelia Jernigan
- Title
- Managing Director
- Phone
- (404) 626-8957
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Optometrist | 152W00000X | NU | ||
| Podiatrist | 213E00000X | NU | Primary |
Addresses
Primary practice location
1111 Lincoln Rd Ste 500
Miami Beach, FL 33139-2439
Mailing address
1416 Bay Rd
Miami Beach, FL 33139-3703
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1757980800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1757980800000",
"number": "1053282715",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1416 BAY RD",
"city": "MIAMI BEACH",
"state": "FL",
"postal_code": "331393703"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1111 LINCOLN RD STE 500",
"city": "MIAMI BEACH",
"state": "FL",
"postal_code": "331392439",
"telephone_number": "404-626-8957"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "SENIOR HEALTHCARE SERVICES LLC",
"organizational_subpart": "NO",
"enumeration_date": "2025-09-16",
"last_updated": "2025-09-16",
"certification_date": "2025-09-16",
"status": "A",
"authorized_official_last_name": "JERNIGAN",
"authorized_official_first_name": "CORDELIA",
"authorized_official_title_or_position": "MANAGING DIRECTOR",
"authorized_official_telephone_number": "404-626-8957"
},
"taxonomies": [
{
"code": "152W00000X",
"taxonomy_group": "",
"desc": "Optometrist",
"state": "NU",
"license": null,
"primary": false
},
{
"code": "213E00000X",
"taxonomy_group": "",
"desc": "Podiatrist",
"state": "NU",
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Miami Beach, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 16, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.