Golden Years Senior Care, Inc.

Primary specialty

Home Health AgencyTaxonomy code 251E00000X

License

30211265 Issued in FL

Legal business name

GOLDEN YEARS SENIOR CARE, INC.

Doing business as

Granny Nannies

Practice address

7440 S US Highway 1
Marlin Professional Centre
Port St Lucie, FL 34952-1417

Phone

(772) 807-8666

Fax

(772) 807-8866

NPI assigned

Oct 10, 2012

Last updated

Oct 10, 2012By the provider in NPPES

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Stanley Woghiren

Title

Administrator

Phone

(772) 807-8666

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• GRANNY NANNIES Doing business as

Locations

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1349827200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1349827200000",
    "number": "1386996692",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7440 S US HIGHWAY 1",
            "address_2": "MARLIN PROFESSIONAL CENTRE",
            "city": "PORT ST LUCIE",
            "state": "FL",
            "postal_code": "349521417",
            "telephone_number": "772-807-8666",
            "fax_number": "772-807-8866"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7440 S US HIGHWAY 1",
            "address_2": "MARLIN PROFESSIONAL CENTRE",
            "city": "PORT ST LUCIE",
            "state": "FL",
            "postal_code": "349521417",
            "telephone_number": "772-807-8666",
            "fax_number": "772-807-8866"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GOLDEN YEARS SENIOR CARE, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-10-10",
        "last_updated": "2012-10-10",
        "status": "A",
        "authorized_official_last_name": "WOGHIREN",
        "authorized_official_first_name": "STANLEY",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "772-807-8666"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "FL",
            "license": "30211265",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "690988400",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "GRANNY NANNIES",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Glory Guerrero Arnp, LLC
• Susan Sawchuk Goebel, D.M.D.
• Emily Amanda Gold, RN, CSPI
• Kenneth Jay Gold, MD
• Lauren Nunez Gold, APRN
• Alma Vanessa Goldstein, L.AC., A.P.
• Morgan Goldstein, DMD
• Goldtree Endo
• Goldtree Kidney Center LLC
• Goldtree RX LLC (Hillmoor Pharmacy)

• Home Health Agency in Port St Lucie, FL
• Providers in Port St Lucie, FL by specialty
• Home Health Agency in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 10, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.