Provider Demographics
NPI:1316606684
Name:SENIOR AIDES SERVICES OF BOCA RATON LLC
Entity type:Organization
Organization Name:SENIOR AIDES SERVICES OF BOCA RATON LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MANAGING MEMBER
Authorized Official - Prefix:MR
Authorized Official - First Name:DANIEL
Authorized Official - Middle Name:
Authorized Official - Last Name:BORONICO
Authorized Official - Suffix:
Authorized Official - Credentials:HEALTH EDUC
Authorized Official - Phone:561-303-5519
Mailing Address - Street 1:1111 W CAMINO REAL
Mailing Address - Street 2:
Mailing Address - City:BOCA RATON
Mailing Address - State:FL
Mailing Address - Zip Code:33486-5401
Mailing Address - Country:US
Mailing Address - Phone:561-303-5519
Mailing Address - Fax:
Practice Address - Street 1:1111 W CAMINO REAL
Practice Address - Street 2:
Practice Address - City:BOCA RATON
Practice Address - State:FL
Practice Address - Zip Code:33486-5401
Practice Address - Country:US
Practice Address - Phone:561-303-5519
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-12-14
Last Update Date:2021-12-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes174H00000XOther Service ProvidersHealth EducatorGroup - Single Specialty