=====================================================
General NPI Number Information
=====================================================
NPI Number | 1538280763
-----------------------------------------------------
Entity Type | Organization
-----------------------------------------------------
Legal Business Name | OPTIONS FOR SENIOR AMERICA, CORPORATION
-----------------------------------------------------
=====================================================
Dates
=====================================================
Enumeration Date | 04/03/2007
-----------------------------------------------------
Last Update Date | 03/31/2008
-----------------------------------------------------
=====================================================
Provider Practice Location Address
=====================================================
Address Line | 4020 SUN CITY CENTER BLVD SUITE 5
-----------------------------------------------------
City | SUN CITY CENTER
-----------------------------------------------------
State | FL
-----------------------------------------------------
Zip | 33573-7201
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 813-633-3100
-----------------------------------------------------
Fax | 813-633-3301
-----------------------------------------------------
=====================================================
Provider Business Mailing Address
=====================================================
Address Line | 4020 SUN CITY CENTER BLVD SUITE 5
-----------------------------------------------------
City | SUN CITY CENTER
-----------------------------------------------------
State | FL
-----------------------------------------------------
Zip | 33573-7201
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 813-633-3100
-----------------------------------------------------
Fax | 813-633-3301
-----------------------------------------------------
=====================================================
Authorized Official
=====================================================
Title or Position | CHEIF EXECUTIVE OFFICER
-----------------------------------------------------
Name | MR. RAMZI A. RIHANI
-----------------------------------------------------
Credential |
-----------------------------------------------------
Telephone | 301-562-1100
-----------------------------------------------------
=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
Taxonomy Code | 251E00000X
-----------------------------------------------------
Taxonomy Name | Home Health Agency
-----------------------------------------------------
License Number | 30211235
-----------------------------------------------------
License Number State | FL
-----------------------------------------------------