- Practice location
- 108 Wagner RD, Bonifay, FL 32425-2923
- Phone
- 850-547-3891
- Fax
- 850-547-0177
- Last updated
- August 22, 2020
Senior Residences, INC. is a healthcare organization based in Bonifay, FL. Senior Residences, INC. practices in Bonifay, FL. The NPI Number for Senior Residences, INC. is 1013033661 and holds a License No. 140232300 (FL). The current practice location address for Senior Residences, INC. is 108 Wagner RD, Bonifay, FL 32425-2923 and can be reached out via phone at 850-547-3891 and via fax at 850-547-0177.
Provider Profile Details
- NPI Number
- 1013033661
- Provider Name
- Senior Residences, INC.
- Provider Entity Type
- Organization
- Address
- 108 Wagner RD, Bonifay, FL 32425-2923
- Phone Number
- 850-547-3891
- Fax Number
- 850-547-0177
- Primary Taxonomy
- Custodial Care Facility · 311Z00000X
- Organization Subpart
- No
- Authorized Official
- Audrey Sims · Executive Director · 850-547-3891
- Other Names
- Senior Residences, INC. -Dogwood Inn (Doing Business As)
- Provider Enumeration Date
- March 22, 2007
- Last Update Date
- August 22, 2020
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- 108 Wagner RD
Bonifay, FL 32425-2923 - City
- Bonifay
- State
- Florida
- Zip
- 32425-2923
- Phone Number
- 850-547-3891
- Fax Number
- 850-547-0177
Provider Business Mailing Address Details
- Address
- 1380 Columbia RD
South Boston, MA 02127-2934 - City
- South Boston
- State
- MA
- Zip
- 02127-2934
- Phone Number
- 617-268-9061
License Information
- License Number
- 140232300
- License State
- FL
- Taxonomy
- Custodial Care Facility · 311Z00000X · Primary
Legacy Identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider. | |||
Other Custodial Care Facility providers near Bonifay, FL
View all Custodial Care Facility providers in Bonifay →Frequently Asked Questions
What is the NPI number of Senior Residences, INC.?
The NPI number of Senior Residences, INC. is 1013033661. It was assigned on March 22, 2007 and is currently active in the NPPES registry.
What is the specialty of Senior Residences, INC.?
Senior Residences, INC. is registered under the primary taxonomy Custodial Care Facility (code 311Z00000X), licensed in FL under license number 140232300.
Where does Senior Residences, INC. practice?
The practice location is 108 Wagner RD, Bonifay, FL 32425-2923. The office can be reached at 850-547-3891 (phone) or 850-547-0177 (fax).
What is an NPI number?
A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.
How do I verify this NPI record?
This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1013033661 directly on the NPPES registry website.