Provider Demographics
NPI:1477835635
Name:SENIORBRIDGE FAMILY COMPANIES (FL), INC
Entity type:Organization
Organization Name:SENIORBRIDGE FAMILY COMPANIES (FL), INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DIRECTOR OF CLINICAL OPERATIONS
Authorized Official - Prefix:
Authorized Official - First Name:DOROTHY
Authorized Official - Middle Name:
Authorized Official - Last Name:BURNS
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:321-258-7709
Mailing Address - Street 1:845 3RD AVE
Mailing Address - Street 2:7TH FLOOR
Mailing Address - City:NEW YORK
Mailing Address - State:NY
Mailing Address - Zip Code:10022-6601
Mailing Address - Country:US
Mailing Address - Phone:212-994-6000
Mailing Address - Fax:
Practice Address - Street 1:825 S US HIGHWAY 1
Practice Address - Street 2:SUITE 230
Practice Address - City:JUPITER
Practice Address - State:FL
Practice Address - Zip Code:33477-5976
Practice Address - Country:US
Practice Address - Phone:561-575-5942
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:HUMANA AT HOME, INC.
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2011-09-14
Last Update Date:2021-10-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
251E00000X, 3747A0650X
FL30211196253Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes3747A0650XNursing Service Related ProvidersTechnicianAttendant Care ProviderGroup - Multi-Specialty
No251E00000XAgenciesHome Health
No253Z00000XAgenciesIn Home Supportive CareGroup - Multi-Specialty