Healthcare Provider Details
I. General information
NPI: 1609434638
Provider Name (Legal Business Name): SENIOR CARE NAVIGATOR GROUP INC
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 06/04/2019
Last Update Date: 01/29/2021
Certification Date: 01/29/2021
Deactivation Date:
Reactivation Date:
III. Provider practice location address
1645 PALM BEACH LAKES BLVD STE 1200
WEST PALM BEACH FL
33401-2214
US
IV. Provider business mailing address
1357 CLIMBING ROSE LN
WEST PALM BEACH FL
33415-4423
US
V. Phone/Fax
- Phone: 561-207-2026
- Fax: 561-584-8556
- Phone: 561-371-7680
- Fax:
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 251B00000X |
| Taxonomy | Case Management Agency |
| License Number | |
| License Number State | |
| # 2 | |
| Primary Taxonomy | N |
| Taxonomy Code | 253Z00000X |
| Taxonomy | In Home Supportive Care Agency |
| License Number | |
| License Number State | |
| # 3 | |
| Primary Taxonomy | N |
| Taxonomy Code | 343900000X |
| Taxonomy | Non-emergency Medical Transport (VAN) |
| License Number | |
| License Number State | |
VIII. Authorized Official
Name:
WINSOME
MCLEOD
Title or Position: ADMINISTRATOR
Credential: NURSE
Phone: 561-371-7680