Provider Demographics
NPI:1528787942
Name:MOUNT SINAI ELDERCARE, INC.
Entity type:Organization
Organization Name:MOUNT SINAI ELDERCARE, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DIRECTOR
Authorized Official - Prefix:
Authorized Official - First Name:MARY
Authorized Official - Middle Name:DANETTE
Authorized Official - Last Name:KIEFERT
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:786-584-5560
Mailing Address - Street 1:4300 ALTON ROAD
Mailing Address - Street 2:WARNER BLDG., 5TH FLOOR
Mailing Address - City:MIAMI BEACH
Mailing Address - State:FL
Mailing Address - Zip Code:33140-2945
Mailing Address - Country:US
Mailing Address - Phone:786-584-5560
Mailing Address - Fax:786-584-5060
Practice Address - Street 1:6050 W 20TH AVE STE 2001
Practice Address - Street 2:
Practice Address - City:HIALEAH
Practice Address - State:FL
Practice Address - Zip Code:33016-2605
Practice Address - Country:US
Practice Address - Phone:786-584-5560
Practice Address - Fax:786-584-5060
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-08-29
Last Update Date:2022-08-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251T00000XAgenciesProgram of All-Inclusive Care for the Elderly (PACE) Provider Organization