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	:	1396276903
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	SENIOR NANNIES HOME CARE SERVICES, LLC

Provider Business Mailing Address
First Line	:	2700 N MILITARY TRL STE 350
Second Line	:
City	:	BOCA RATON
State	:	FL
Zip	:	33431-6394
Country	:	US
Telephone Number	:	800-748-2129
Fax Number	:	954-730-8349

Provider Business Practice Location Address
First Line	:	677 N WASHINGTON BLVD
Second Line	:
City	:	SARASOTA
State	:	FL
Zip	:	34236-4241
Country	:	US
Telephone Number	:	954-733-5444
Fax Number	:	954-730-8349

Authorized Official
Title or Position	:	CEO
Name	:	MR. GARY R LOFFREDO
Credential	:
Telephone Number	:	954-733-5444

Provider Enumeration Date	:	03/24/2017
Last Update Date	:	01/14/2026

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