MEDICARE: SILVER YEARS HOME HEALTH SERVICES, 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	299992463	FL

General Provider Information

NPI Number	:	1083785661
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	SILVER YEARS HOME HEALTH SERVICES, INC.

Provider Business Mailing Address
First Line	:	PO BOX 246618
Second Line	:
City	:	PEMBROKE PINES
State	:	FL
Zip	:	33024-0126
Country	:	US
Telephone Number	:	786-512-4337
Fax Number	:	954-450-0365

Provider Business Practice Location Address
First Line	:	600 S FEDERAL HWY STE 211
Second Line	:
City	:	DEERFIELD BCH
State	:	FL
Zip	:	33441-4199
Country	:	US
Telephone Number	:	954-450-0764
Fax Number	:	954-450-0365

Authorized Official
Title or Position	:	CORPORATE OFFICER
Name	:	YELENA C, GADEA
Credential	:
Telephone Number	:	786-512-4337

Provider Enumeration Date	:	11/13/2006
Last Update Date	:	12/30/2020

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