Senior Xpress Care LLC

Primary specialty

Medical Physician AssistantTaxonomy code 363AM0700X

License

PA9102629 Issued in FL

Legal business name

SENIOR XPRESS CARE LLC

Practice address

5310 Clark Rd Ste 206
Sarasota, FL 34233-3229

Phone

(941) 921-7788

Fax

(941) 921-3399

NPI assigned

Aug 25, 2011

Organization subpart

No

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

Authorized official

Name

Mr. Christopher J Kelley, PA-C

Title

Ceo, Treasurer

Phone

(941) 921-7788

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in FL

Enrollment records 1

Locations

Practitioners 6

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Kathy Burge, FNP

  • Family Medicine Physician
  • Sarasota, FL
  • NPI 1114013588
  Medicare reassignment NPD
• Stephen Edward Mitteldorf, MD

  • Internal Medicine Physician
  • Sarasota, FL
  • NPI 1821071705
  Medicare reassignment NPD
• Troy Turner, NP

  • Family Nurse Practitioner
  • Sarasota, FL
  • NPI 1306611231
  Medicare reassignment NPD
• Sandra T. F Van Gennip, ARNP

  • Family Nurse Practitioner
  • Sarasota, FL
  • NPI 1619466406
  Medicare reassignment NPD
• Teresa G Hassard, ARNP-C

  • Family Nurse Practitioner
  • Nashville, TN
  • NPI 1497908701

  FL

  Medicare reassignment NPD
• Kathryn Lynn Price, M.D

  • Family Medicine Physician
  • Ketchikan, AK
  • NPI 1154315109
  NPD (past)

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

{
    "created_epoch": "1314230400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1540771200000",
    "number": "1821378571",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5310 CLARK RD STE 206",
            "city": "SARASOTA",
            "state": "FL",
            "postal_code": "342333229",
            "telephone_number": "941-921-7788",
            "fax_number": "941-921-3399"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5310 CLARK RD STE 206",
            "city": "SARASOTA",
            "state": "FL",
            "postal_code": "342333229",
            "telephone_number": "941-921-7788",
            "fax_number": "941-921-3399"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SENIOR XPRESS CARE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-08-25",
        "last_updated": "2018-10-29",
        "status": "A",
        "authorized_official_last_name": "KELLEY",
        "authorized_official_first_name": "CHRISTOPHER",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "CEO, TREASURER",
        "authorized_official_telephone_number": "941-921-7788",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "PA-C"
    },
    "taxonomies": [
        {
            "code": "363AM0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physician Assistant, Medical",
            "state": "FL",
            "license": "PA9102629",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Senior Home Companions, Inc.
• Senior Home Connections, LLC
• Senior Living III SRQ LLC
• Senior Living Properties IV, LLC (Savannah Grand of Sarasota)
• Senior Nannies Home Care Services, LLC
• Seniorbridge Family Companies (FL), Inc.
• Sensory Solutions Sarasota
• Olivia Senterfitt, LPN
• Zoe Seraphin
• Amy R Seraydarian, PT, DPT

• Medical Physician Assistant in Sarasota, FL
• Providers in Sarasota, FL by specialty
• Medical Physician Assistant in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 29, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.