Provider Demographics
NPI:1891671236
Name:EUSTIS SENIOR CARE INC
Entity type:Organization
Organization Name:EUSTIS SENIOR CARE INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:GENERAL MANAGER
Authorized Official - Prefix:
Authorized Official - First Name:SHERWIN JAY
Authorized Official - Middle Name:
Authorized Official - Last Name:ALCORDO
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:407-731-2845
Mailing Address - Street 1:228 N CENTER ST
Mailing Address - Street 2:
Mailing Address - City:EUSTIS
Mailing Address - State:FL
Mailing Address - Zip Code:32726-3514
Mailing Address - Country:US
Mailing Address - Phone:407-731-2545
Mailing Address - Fax:
Practice Address - Street 1:228 N CENTER ST
Practice Address - Street 2:
Practice Address - City:EUSTIS
Practice Address - State:FL
Practice Address - Zip Code:32726-3514
Practice Address - Country:US
Practice Address - Phone:352-589-8944
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-08-12
Last Update Date:2025-08-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes310400000XNursing & Custodial Care FacilitiesAssisted Living Facility