Healthcare Provider Details

I. General information

NPI: 1073441077
Provider Name (Legal Business Name): SAFE AGING AT HOME, LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/11/2026
Last Update Date: 05/11/2026
Certification Date: 05/11/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

17695 FLORENCE CT
MORGAN HILL CA
95037-4125
US

IV. Provider business mailing address

17695 FLORENCE CT
MORGAN HILL CA
95037-4125
US

V. Phone/Fax

Practice location:
  • Phone: 408-409-6932
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code3747A0650X
TaxonomyAttendant Care Provider
License Number
License Number State
# 2
Primary TaxonomyY
Taxonomy Code251E00000X
TaxonomyHome Health Agency
License Number
License Number State

VIII. Authorized Official

Name: DANIEL KOSS
Title or Position: OWNER
Credential:
Phone: 408-409-6932