Provider Demographics
NPI:1154430262
Name:SENIOR SOLUTIONS HOME HEALTH CARE LLC
Entity type:Organization
Organization Name:SENIOR SOLUTIONS HOME HEALTH CARE LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER/ADMINISTRATOR
Authorized Official - Prefix:MRS
Authorized Official - First Name:JENNIFER
Authorized Official - Middle Name:
Authorized Official - Last Name:COSTELLO
Authorized Official - Suffix:
Authorized Official - Credentials:RN
Authorized Official - Phone:813-814-4025
Mailing Address - Street 1:13049 W LINEBAUGH AVE
Mailing Address - Street 2:SUITE 101
Mailing Address - City:TAMPA
Mailing Address - State:FL
Mailing Address - Zip Code:33626-4451
Mailing Address - Country:US
Mailing Address - Phone:813-814-4025
Mailing Address - Fax:813-855-9704
Practice Address - Street 1:13049 W LINEBAUGH AVE
Practice Address - Street 2:SUITE 101
Practice Address - City:TAMPA
Practice Address - State:FL
Practice Address - Zip Code:33626-4451
Practice Address - Country:US
Practice Address - Phone:813-814-4025
Practice Address - Fax:813-855-9704
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-08-30
Last Update Date:2013-10-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLHHA299992484251E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL108430OtherPTAN