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
1	251J00000X	Nursing Care Agency

Other Identifiers

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

General Provider Information

NPI Number	:	1518328475
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	SENIOR NANNIES HOME CARE SERVICES, LLC

Provider Business Mailing Address
First Line	:	6760 OLD JACKSONVILLE HWY STE 101
Second Line	:
City	:	TYLER
State	:	TX
Zip	:	75703-0566
Country	:	US
Telephone Number	:	855-485-8273
Fax Number	:	817-326-2436

Provider Business Practice Location Address
First Line	:	7758 WALLACE RD STE F
Second Line	:
City	:	ORLANDO
State	:	FL
Zip	:	32819-7218
Country	:	US
Telephone Number	:	407-599-7943
Fax Number	:	800-748-2129

Authorized Official
Title or Position	:	SECRETARY
Name	:	KATRINA LANIER
Credential	:
Telephone Number	:	855-485-8273

Provider Enumeration Date	:	03/18/2016
Last Update Date	:	02/24/2026

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