Healthcare Provider Details

I. General information

NPI: 1083535926
Provider Name (Legal Business Name): SENIOR CARE ADVISORY GROUP L.L.C.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/24/2026
Last Update Date: 07/24/2026
Certification Date: 07/24/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3923 NW 41ST ST
CAPE CORAL FL
33993-7404
US

IV. Provider business mailing address

3923 NW 41ST ST
CAPE CORAL FL
33993-7404
US

V. Phone/Fax

Practice location:
  • Phone: 941-500-2754
  • Fax:
Mailing address:
  • Phone: 941-500-2754
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code253Z00000X
TaxonomyIn Home Supportive Care Agency
License Number
License Number State

VIII. Authorized Official

Name: MRS. DAHLIA BLACK
Title or Position: COO
Credential:
Phone: 941-500-2754