NPIMap

Organization Active NPI

Seniorbridge Family Companies (FL), Inc.

  • In Home Supportive Care Agency
  • Melbourne, FL
National Provider Identifier
1780907469
Registry record updated Jun 1, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
In Home Supportive Care AgencyTaxonomy code 253Z00000X
License
299993355 Issued in FL
Legal business name
SENIORBRIDGE FAMILY COMPANIES (FL), INC.
Practice address
1900 S Harbor City Blvd Ste 203
Melbourne, FL 32901-4700
Phone
(321) 728-9530
NPI assigned
Mar 9, 2010
Organization subpart
Yes
Parent organization
SENIORBRIDGE FAMILY COMPANIES, INC.As reported in NPPES

NPPES NPI Registry

Updated by the provider on Jun 1, 2022

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

Authorized official

Name
Dorothy M Burns
Title
Director of Clinical Quality
Phone
(321) 258-7709

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X 299993355 FL
In Home Supportive Care Agency 253Z00000X 299993355 FL Primary

Addresses

Primary practice location

1900 S Harbor City Blvd Ste 203
Melbourne, FL 32901-4700

Mailing address

845 3Rd Ave
7TH Floor
New York, NY 10022-6601
Phone (212) 994-6100

National Provider Directory

National Provider Directory
Tax ID family
Seniorbridge Family Companies FL Inc9 organizations share this tax ID, including this one
Part of
Humana at Home Inc

Other organizations with this tax ID 8

Organizations that report the same tax identification number in the National Provider Directory.

Locations

1900 S Harbor City Blvd
Ste 203
Melbourne, FL 32901
Phone (321) 725-9607

1510 S Harbor City Blvd
Melbourne, FL 32901

NPI Registry JSON

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

{
    "created_epoch": "1268092800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1654041600000",
    "number": "1780907469",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "845 3RD AVE",
            "address_2": "7TH FLOOR",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100226601",
            "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": "1900 S HARBOR CITY BLVD STE 203",
            "city": "MELBOURNE",
            "state": "FL",
            "postal_code": "329014700",
            "telephone_number": "321-728-9530"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SENIORBRIDGE FAMILY COMPANIES (FL), INC.",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "SENIORBRIDGE FAMILY COMPANIES, INC.",
        "enumeration_date": "2010-03-09",
        "last_updated": "2022-06-01",
        "certification_date": "2022-06-01",
        "status": "A",
        "authorized_official_last_name": "BURNS",
        "authorized_official_first_name": "DOROTHY",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "DIRECTOR OF CLINICAL QUALITY",
        "authorized_official_telephone_number": "321-258-7709"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "FL",
            "license": "299993355",
            "primary": false
        },
        {
            "code": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive Care",
            "state": "FL",
            "license": "299993355",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Melbourne, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 1, 2022; 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.