Seniorbridge-Florida LLC

Primary specialty

Home Health AgencyTaxonomy code 251E00000X

License

21033096 Issued in FL

Legal business name

SENIORBRIDGE-FLORIDA LLC

Practice address

8751 W Broward Blvd Ste 200
Plantation, FL 33324-2630

Phone

(954) 423-2217

Fax

(954) 475-8071

NPI assigned

Oct 2, 2013

Organization subpart

Yes

Parent organization

SENIORBRIDGE FAMILY COMPANIES (FL), INC.As reported in NPPES

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

Authorized official

Name

Mr. Eric C Rackow, M.D.

Title

President and Ceo

Phone

(212) 994-6108

Specialties & licenses 2

Addresses

Part of

Seniorbridge Family Companies FL Inc

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

{
    "created_epoch": "1380672000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1380672000000",
    "number": "1225465594",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "845 3RD AVE FL 7",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100226629",
            "telephone_number": "212-994-6100",
            "fax_number": "212-994-4260"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8751 W BROWARD BLVD STE 200",
            "city": "PLANTATION",
            "state": "FL",
            "postal_code": "333242630",
            "telephone_number": "954-423-2217",
            "fax_number": "954-475-8071"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SENIORBRIDGE-FLORIDA LLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "SENIORBRIDGE FAMILY COMPANIES (FL), INC.",
        "enumeration_date": "2013-10-02",
        "last_updated": "2013-10-02",
        "status": "A",
        "authorized_official_last_name": "RACKOW",
        "authorized_official_first_name": "ERIC",
        "authorized_official_middle_name": "C",
        "authorized_official_title_or_position": "PRESIDENT AND CEO",
        "authorized_official_telephone_number": "212-994-6108",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "FL",
            "license": "21033096",
            "primary": true
        },
        {
            "code": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive Care",
            "state": "FL",
            "license": "21033096",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Allan Martin Selbst, M.D.
• Kenneth Selbst, M.D.
• Select Physical Therapy Holdings Inc
• Senior Medical Associates LLC
• Senior Proof Inc
• Sensing Synergy
• Yirina Serpa Lorenzo
• Aurora Cortes Serrano, RPT
• Chelsea De la Caridad Serrano
• Danielle Serrano

• Home Health Agency in Plantation, FL
• Providers in Plantation, FL by specialty
• Home Health Agency in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 2, 2013; 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.