Senior Center, Inc.

Primary specialty

Respite CareTaxonomy code 385H00000X

License

381 Issued in FL

Legal business name

SENIOR CENTER, INC.

Doing business as

Kurt and Alice Water Adult Daycare Pavillion

Practice address

5000 N. Nob Hill Road
Sunrise, FL 33351

Phone

(954) 742-2299

Fax

(954) 749-0081

NPI assigned

Jun 23, 2008

Last updated

Nov 4, 2020By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Ms. Gail Weisberg

Title

Executive Director

Phone

(954) 742-2299

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Kurt and Alice Water Adult Daycare Pavillion Doing business as

Locations

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

{
    "created_epoch": "1214179200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1604448000000",
    "number": "1750542767",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5000 N. NOB HILL ROAD",
            "city": "SUNRISE",
            "state": "FL",
            "postal_code": "33351",
            "telephone_number": "954-742-2299",
            "fax_number": "954-749-0081"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5000 N. NOB HILL ROAD",
            "city": "SUNRISE",
            "state": "FL",
            "postal_code": "33351",
            "telephone_number": "954-742-2299",
            "fax_number": "954-749-0081"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SENIOR CENTER, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-06-23",
        "last_updated": "2020-11-04",
        "certification_date": "2020-11-04",
        "status": "A",
        "authorized_official_last_name": "WEISBERG",
        "authorized_official_first_name": "GAIL",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "954-742-2299",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "385H00000X",
            "taxonomy_group": "",
            "desc": "Respite Care",
            "state": "FL",
            "license": "381",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "683095100",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Kurt and Alice Water Adult Daycare Pavillion",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Merry Lesan Gorres Segador, PT
• Traci Seidman, PH.D.
• Carmen Melania Selman, MD
• Rebecca Sen
• Jeffrey Senick, CRNA
• Senior Helpers of Sunrise
• Senior Medical Associates LLC
• Seniors R US LLC (Absolute ALF)
• Senter for Health & Rehab, Inc
• Senter for Health & Rehab, Inc.

• Respite Care in Sunrise, FL
• Providers in Sunrise, FL by specialty
• Respite Care in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 4, 2020; 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.