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NPI Code Detail

MEDICARE: SENIOR NANNIES HOME CARE SERVICES, LLC

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
1251J00000XNursing Care Agency

General Provider Information

NPI Number : 1679400360
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 :
Fax Number :
Provider Business Practice Location Address
First Line : 545 BRENT LN STE 102
Second Line :
City : PENSACOLA
State : FL
Zip : 32503-2003
Country : US
Telephone Number : 561-998-2827
Fax Number : 888-277-2976
Authorized Official
Title or Position : CEO
Name : GARY ROCCO LOFFREDO
Credential :
Telephone Number : 954-395-1524
Provider Enumeration Date : 05/06/2026
Last Update Date : 05/06/2026

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