Provider Demographics
NPI:1861099251
Name:SENIOR LIVING MEDICAID BILLING, LLC
Entity type:Organization
Organization Name:SENIOR LIVING MEDICAID BILLING, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:VICE PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:EDUARDO
Authorized Official - Middle Name:
Authorized Official - Last Name:CARVAJAL
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:800-425-9914
Mailing Address - Street 1:1688 MERIDIAN AVE STE 700
Mailing Address - Street 2:
Mailing Address - City:MIAMI BEACH
Mailing Address - State:FL
Mailing Address - Zip Code:33139-2713
Mailing Address - Country:US
Mailing Address - Phone:800-425-9914
Mailing Address - Fax:
Practice Address - Street 1:1688 MERIDIAN AVE STE 700
Practice Address - Street 2:
Practice Address - City:MIAMI BEACH
Practice Address - State:FL
Practice Address - Zip Code:33139-2713
Practice Address - Country:US
Practice Address - Phone:800-425-9914
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-10-08
Last Update Date:2020-10-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes310400000XNursing & Custodial Care FacilitiesAssisted Living Facility