Healthcare Provider Details

I. General information

NPI: 1073089629
Provider Name (Legal Business Name): HOLY CROSS SENIOR SERVICES INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 10/22/2018
Last Update Date: 06/10/2025
Certification Date: 06/10/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4725 N FEDERAL HWY
FORT LAUDERDALE FL
33308-4603
US

IV. Provider business mailing address

4875 N FEDERAL HWY FL 10
FORT LAUDERDALE FL
33308-4610
US

V. Phone/Fax

Practice location:
  • Phone: 954-771-8000
  • Fax: 954-492-5741
Mailing address:
  • Phone: 954-229-8501
  • Fax: 954-351-4730

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207RG0300X
TaxonomyGeriatric Medicine (Internal Medicine) Physician
License Number
License Number State

VIII. Authorized Official

Name: PIERRE MONICE
Title or Position: PRESIDENT & CEO
Credential:
Phone: 708-216-9297