Healthcare Provider Details

I. General information

NPI: 1760946222
Provider Name (Legal Business Name): SENIOR NANNIES HOME CARE SERVICES, LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 01/29/2019
Last Update Date: 08/25/2026
Certification Date: 08/25/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2801 SW COLLEGE RD STE 8
OCALA FL
34474-4430
US

IV. Provider business mailing address

6760 OLD JACKSONVILLE HWY STE 101
TYLER TX
75703-0566
US

V. Phone/Fax

Practice location:
  • Phone: 800-748-2129
  • Fax:
Mailing address:
  • Phone: 855-485-8273
  • Fax: 817-326-2436

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code251J00000X
TaxonomyNursing Care Agency
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code253Z00000X
TaxonomyIn Home Supportive Care Agency
License Number
License Number State

VIII. Authorized Official

Name: KATRINA LANIER
Title or Position: SECRETARY
Credential:
Phone: 855-485-8273