GOLDEN YEARS SENIOR CARE, INC.


Address: 7440 S Us Highway 1, Marlin Professional Centre, Port St Lucie, FL 34952-1417
Phone: 7728078666

GOLDEN YEARS SENIOR CARE, INC. (NPI# 1386996692) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1386996692
Entity Type Organization
Organization Name GOLDEN YEARS SENIOR CARE, INC.
Other Organization Name GRANNY NANNIES
Practice Address 7440 S Us Highway 1
Marlin Professional Centre
Port St Lucie
FL 34952-1417
Practice Telephone 7728078666
Practice Fax Number 7728078866
Mailing Telephone 7728078666
Mailing Fax Number 7728078866
Enumeration Date 2012-10-10
Last Update Date 2012-10-10
Authorized Official Name STANLEY WOGHIREN (ADMINISTRATOR)
Authorized Official Telephone 7728078666
Is Organization Subpart N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 251E00000X Home Health 30211265 FL Agencies

Other Provider Identifier

State Issuer Identifier Type Code
FL 690988400 05

Other Provider/Organization Names

Other Name Type Code
GRANNY NANNIES Doing Business As Name - Organization

Office Location

Street Address 7440 S US HIGHWAY 1
MARLIN PROFESSIONAL CENTRE
City PORT ST LUCIE
State FL
Zip Code 34952-1417

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Taxonomy Information

Taxonomy Code 251E00000X
Grouping Agencies
Classification Home Health

Taxonomy Definition

A public agency or private organization, or a subdivision of such an agency or organization, that is primarily engaged in providing skilled nursing services and other therapeutic services, such as physical therapy, speech-language pathology services, or occupational therapy, medical social services, and home health aide services. It has policies established by a professional group associated with the agency or organization (including at least one physician and one registered nurse) to govern the services and provides for supervision of such services by a physician or a registered nurse; maintains clinical records on all patients; is licensed in accordance with State or local law or is approved by the State or local licensing agency as meeting the licensing standards, where applicable; and meets other conditions found by the Secretary of Health and Human Services to be necessary for health and safety.
Notes: Source: CFR42 Chapter IV Part 484, http://www.access.gpo.gov/nara/cfr/waisidx_99/42cfr484_99.html [7/1/2007: definition added, source added]

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1245871987 Suzette Webb Home Health 3205 Se West Snow Rd, Port St Lucie, FL 34984-6522 2019-10-03
1942861588 Loveta Belfort Home Health 1672 Sw Boykin Ave, Port St Lucie, FL 34953-4318 2019-06-25
1588141923 Nadine Healthcare Servisces Home Health 1073 Sw Majorca Ave, Port St Lucie, FL 34953-3431 2018-07-27
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1104206275 Atlantic Home Health Agency of South Florida, LLC Home Health 1570 Se Port St Lucie Blvd, Port St Lucie, FL 34952-5450 2015-06-04
1801224324 Hadley's Home Health Services LLC Home Health 2695 Sw Domina Road, Port St Lucie, FL 34953-2778 2013-10-18
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Competitor

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City PORT ST LUCIE
Zip Code 34952

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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