MEDICARE: AMERICAN SENIORS ASSOCIATION, INC.

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
1	251E00000X	Home Health Agency		FL

General Provider Information

NPI Number	:	1487674388
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	AMERICAN SENIORS ASSOCIATION, INC.

Provider Business Mailing Address
First Line	:	1944 W. MARTIN L. KING BLVD.
Second Line	:
City	:	TAMPA
State	:	FL
Zip	:	33607
Country	:	US
Telephone Number	:	813-874-3938
Fax Number	:

Provider Business Practice Location Address
First Line	:	1944 W. MARTIN L. KING BLVD.
Second Line	:
City	:	TAMPA
State	:	FL
Zip	:	33607
Country	:	US
Telephone Number	:	813-874-3938
Fax Number	:

Authorized Official
Title or Position	:	OWNER
Name	:	MRS. AURELIA MCGRUDER
Credential	:
Telephone Number	:	813-874-3938

Provider Enumeration Date	:	07/20/2006
Last Update Date	:	07/21/2022

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