The Senior Care Connector Inc.

Primary specialty

In Home Supportive Care AgencyTaxonomy code 253Z00000X

License

234241 Issued in FL

Legal business name

THE SENIOR CARE CONNECTOR INC.

Practice address

9999 NE 2ND Ave
Suite 215F
Miami Shores, FL 33138-2352

Phone

(786) 391-1478

Fax

(888) 397-0158

NPI assigned

Oct 9, 2016

Last updated

Oct 9, 2016By 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. Erta Dumond

Title

Ceo

Phone

(786) 391-1478

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

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

{
    "created_epoch": "1475971200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1475971200000",
    "number": "1952851412",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9999 NE 2ND AVE",
            "address_2": "SUITE 215F",
            "city": "MIAMI SHORES",
            "state": "FL",
            "postal_code": "331382352",
            "telephone_number": "786-391-1478",
            "fax_number": "888-397-0158"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9999 NE 2ND AVE",
            "address_2": "SUITE 215F",
            "city": "MIAMI SHORES",
            "state": "FL",
            "postal_code": "331382352",
            "telephone_number": "786-391-1478",
            "fax_number": "888-397-0158"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THE SENIOR CARE CONNECTOR INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-10-09",
        "last_updated": "2016-10-09",
        "status": "A",
        "authorized_official_last_name": "DUMOND",
        "authorized_official_first_name": "ERTA",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "786-391-1478",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive Care",
            "state": "FL",
            "license": "234241",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "234241",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 9, 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.