MEDICARE: SENIORS GOLDEN YEARS INC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy
1	372600000X	Adult Companion
2	374U00000X	Home Health Aide
3	376J00000X	Homemaker
4	253Z00000X	In Home Supportive Care Agency

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	HOMEMAKER	OTHER	FL	IN HOME CARE
2	COMPANION	OTHER	FL	IN HOME CARE
3	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1487388856
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	SENIORS GOLDEN YEARS INC

Provider Business Mailing Address
First Line	:	7644 MELISSA CT N
Second Line	:
City	:	JACKSONVILLE
State	:	FL
Zip	:	32210-8706
Country	:	US
Telephone Number	:	904-667-1286
Fax Number	:

Provider Business Practice Location Address
First Line	:	7644 MELISSA CT N
Second Line	:
City	:	JACKSONVILLE
State	:	FL
Zip	:	32210-8706
Country	:	US
Telephone Number	:	904-667-1286
Fax Number	:

Authorized Official
Title or Position	:	CEO
Name	:	HELEN AMOS
Credential	:
Telephone Number	:	904-667-1286

Provider Enumeration Date	:	07/12/2022
Last Update Date	:	07/12/2022

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Directions to “SENIORS GOLDEN YEARS INC ” Practice Location

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