Provider Demographics
NPI:1831070945
Name:HOME BOUND SENIOR SOCIAL ASSISTANT LLC
Entity type:Organization
Organization Name:HOME BOUND SENIOR SOCIAL ASSISTANT LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER, PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:LIZA
Authorized Official - Middle Name:
Authorized Official - Last Name:VELA
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:813-580-4555
Mailing Address - Street 1:PO BOX 312
Mailing Address - Street 2:
Mailing Address - City:SYDNEY
Mailing Address - State:FL
Mailing Address - Zip Code:33587-0312
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:5230 SR 60
Practice Address - Street 2:
Practice Address - City:DOVER
Practice Address - State:FL
Practice Address - Zip Code:33527-6139
Practice Address - Country:US
Practice Address - Phone:813-580-4555
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-09-08
Last Update Date:2025-09-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes253Z00000XAgenciesIn Home Supportive Care