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NPI Code Detail

MEDICARE: SENIOR NANNIES HOME CARE SERVICES, LLC

MEDICARE: SENIOR NANNIES HOME CARE SERVICES, LLC
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1251J00000XNursing Care Agency

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1467910935
Entity Type Code : Organization
Provider Name (Legal Business Name) : SENIOR NANNIES HOME CARE SERVICES, LLC
Provider Business Mailing Address
First Line : 2700 N MILITARY TRL STE 350
Second Line :
City : BOCA RATON
State : FL
Zip : 33431-6394
Country : US
Telephone Number : 954-733-5444
Fax Number :
Provider Business Practice Location Address
First Line : 4651 SALISBURY RD STE 400
Second Line :
City : JACKSONVILLE
State : FL
Zip : 32256-6187
Country : US
Telephone Number : 800-748-2129
Fax Number : 877-296-8445
Authorized Official
Title or Position : CEO
Name : GARY R LOFFREDO
Credential :
Telephone Number : 954-733-5444
Provider Enumeration Date : 03/04/2019
Last Update Date : 01/14/2026

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