MEDICARE: SENIOR HOME CONNECTIONS, 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	1041C0700X	Clinical Social Worker	SW1388	FL

General Provider Information

NPI Number	:	1821043720
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	SENIOR HOME CONNECTIONS, LLC

Provider Business Mailing Address
First Line	:	5053 OCEAN BLVD
Second Line	:
City	:	SARASOTA
State	:	FL
Zip	:	34242-1607
Country	:	US
Telephone Number	:	941-349-1013
Fax Number	:	941-349-1013

Provider Business Practice Location Address
First Line	:	4923 COMMONWEALTH DR
Second Line	:
City	:	SARASOTA
State	:	FL
Zip	:	34242-1421
Country	:	US
Telephone Number	:	941-349-1013
Fax Number	:

Authorized Official
Title or Position	:	DIRECTOR/OWNER
Name	:	MS. BETH LARSON WARRINER
Credential	:	LCSW
Telephone Number	:	941-349-1013

Provider Enumeration Date	:	05/23/2006
Last Update Date	:	08/22/2020

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