Organization Active NPI

Senior Home Care of South Florida LLC

  • Assisted Living Facility
  • Miramar, FL
National Provider Identifier
1790149813
Registry record updated Apr 6, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Assisted Living FacilityTaxonomy code 310400000X
License
12170 Issued in FL
Legal business name
SENIOR HOME CARE OF SOUTH FLORIDA LLC
Practice address
6308 SW 27TH St # 1
Miramar, FL 33023-3920
Phone
(954) 966-0848
Fax
(954) 416-6644
NPI assigned
Apr 6, 2016
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 6, 2016

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

Authorized official

Name
Theresa Dali
Title
Owner/Admin.
Phone
(954) 966-0848

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Assisted Living Facility 310400000X 12170 FL Primary

Addresses

Primary practice location

6308 SW 27TH St # 1
Miramar, FL 33023-3920

Mailing address

6308 SW 27TH St # 1
Miramar, FL 33023-3920
Phone (954) 966-0848

National Provider Directory

National Provider Directory
Tax ID family
Senior Home Care of South Florida LLC2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

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

NPI Registry JSON

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

{
    "created_epoch": "1459900800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1459900800000",
    "number": "1790149813",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6308 SW 27TH ST # 1",
            "city": "MIRAMAR",
            "state": "FL",
            "postal_code": "330233920",
            "telephone_number": "954-966-0848",
            "fax_number": "954-416-6644"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6308 SW 27TH ST # 1",
            "city": "MIRAMAR",
            "state": "FL",
            "postal_code": "330233920",
            "telephone_number": "954-966-0848",
            "fax_number": "954-416-6644"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SENIOR HOME CARE OF SOUTH FLORIDA LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-04-06",
        "last_updated": "2016-04-06",
        "status": "A",
        "authorized_official_last_name": "DALI",
        "authorized_official_first_name": "THERESA",
        "authorized_official_title_or_position": "OWNER/ADMIN.",
        "authorized_official_telephone_number": "954-966-0848"
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": "FL",
            "license": "12170",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Miramar, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 6, 2016; 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.