MEDICARE: SENIORS LOVING CARE

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	311ZA0620X	Adult Care Home Facility	6905711	FL

General Provider Information

NPI Number	:	1700046935
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	SENIORS LOVING CARE

Provider Business Mailing Address
First Line	:	9830 SW 80TH DR
Second Line	:
City	:	MIAMI
State	:	FL
Zip	:	33173-4037
Country	:	US
Telephone Number	:	305-598-0270
Fax Number	:

Provider Business Practice Location Address
First Line	:	9830 SW 80TH DR
Second Line	:
City	:	MIAMI
State	:	FL
Zip	:	33173-4037
Country	:	US
Telephone Number	:	305-598-0270
Fax Number	:

Authorized Official
Title or Position	:	ADMINISTRATOR
Name	:	MS. HORTENSIA PINEDA
Credential	:
Telephone Number	:	786-853-1533

Provider Enumeration Date	:	06/11/2008
Last Update Date	:	06/11/2008

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Directions to “SENIORS LOVING CARE ” Practice Location

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