Organization Active NPI

Senior Service Solutions LLC

  • Meals Provider
  • Hialeah, FL
National Provider Identifier
1124662705
Registry record updated Nov 6, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Meals ProviderTaxonomy code 174200000X
Legal business name
SENIOR SERVICE SOLUTIONS LLC
Practice address
4550 W 12TH Ave
Hialeah, FL 33012-3325
Phone
(954) 901-0104
NPI assigned
Nov 6, 2019
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 6, 2019

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Theresa Marie Dali
Title
Ceo
Phone
(954) 901-0104

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Meals Provider 174200000X Primary

Addresses

Primary practice location

4550 W 12TH Ave
Hialeah, FL 33012-3325

Mailing address

178 SW 96TH Ave
Plantation, FL 33324-2359
Phone (954) 901-0104

Other identifiers 1

IdentifierTypeStateIssuer
104504200MedicaidFL

Electronic endpoints 1

TypeEndpointUseAffiliation
Other URL https://api.whatsapp.com/send?phone=9549010104&text=Please%20submit%20your%20information%20here

National Provider Directory

National Provider Directory

Locations

4550 W 12th Ave
Hialeah, FL 33012
Phone (954) 901-0104

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1572998400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1572998400000",
    "number": "1124662705",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "178 SW 96TH AVE",
            "city": "PLANTATION",
            "state": "FL",
            "postal_code": "333242359",
            "telephone_number": "954-901-0104"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4550 W 12TH AVE",
            "city": "HIALEAH",
            "state": "FL",
            "postal_code": "330123325",
            "telephone_number": "954-901-0104"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SENIOR SERVICE SOLUTIONS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-11-06",
        "last_updated": "2019-11-06",
        "status": "A",
        "authorized_official_last_name": "DALI",
        "authorized_official_first_name": "THERESA",
        "authorized_official_middle_name": "MARIE",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "954-901-0104"
    },
    "taxonomies": [
        {
            "code": "174200000X",
            "taxonomy_group": "",
            "desc": "Meals",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "104504200",
            "state": "FL"
        }
    ],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "https://api.whatsapp.com/send?phone=9549010104&text=Please%20submit%20your%20information%20here",
            "affiliation": "N",
            "address_1": "4550 W 12th Ave",
            "city": "Hialeah",
            "state": "FL",
            "country_code": "US",
            "postal_code": "330123325",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Hialeah, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 6, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.