MEDICARE: SENIOR SAVIORS HOME CARE LLC

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	251E00000X	Home Health Agency	299994580	FL

General Provider Information

NPI Number	:	1093246894
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	SENIOR SAVIORS HOME CARE LLC

Provider Business Mailing Address
First Line	:	1222 SE 47TH ST
Second Line	:	SUITE #304
City	:	CAPE CORAL
State	:	FL
Zip	:	33904-9661
Country	:	US
Telephone Number	:	239-217-7082
Fax Number	:	239-540-0733

Provider Business Practice Location Address
First Line	:	1222 SE 47TH ST
Second Line	:	SUITE #304
City	:	CAPE CORAL
State	:	FL
Zip	:	33904-9661
Country	:	US
Telephone Number	:	239-217-7082
Fax Number	:	239-540-0733

Authorized Official
Title or Position	:	CEO
Name	:	STEVEN DOWNEY
Credential	:
Telephone Number	:	239-217-7082

Provider Enumeration Date	:	03/23/2017
Last Update Date	:	03/23/2017

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