Provider Demographics
NPI:1023631710
Name:CORVEA SENIOR HELPERS LLC
Entity type:Organization
Organization Name:CORVEA SENIOR HELPERS LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MGR
Authorized Official - Prefix:
Authorized Official - First Name:DAYLIN
Authorized Official - Middle Name:
Authorized Official - Last Name:CORVEA JIMENEZ
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:813-403-2272
Mailing Address - Street 1:3251 CARLTON ARMS DR UNIT 11
Mailing Address - Street 2:
Mailing Address - City:TAMPA
Mailing Address - State:FL
Mailing Address - Zip Code:33614-4184
Mailing Address - Country:US
Mailing Address - Phone:813-403-2272
Mailing Address - Fax:
Practice Address - Street 1:3251 CARLTON ARMS DR UNIT 11
Practice Address - Street 2:
Practice Address - City:TAMPA
Practice Address - State:FL
Practice Address - Zip Code:33614-4184
Practice Address - Country:US
Practice Address - Phone:813-403-2272
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-05-28
Last Update Date:2020-06-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes376J00000XNursing Service Related ProvidersHomemakerGroup - Multi-Specialty
No253Z00000XAgenciesIn Home Supportive CareGroup - Multi-Specialty
No374U00000XNursing Service Related ProvidersHome Health AideGroup - Multi-Specialty
No385H00000XRespite Care FacilityRespite CareGroup - Multi-Specialty