Provider Demographics
NPI:1083785661
Name:SILVER YEARS HOME HEALTH SERVICES, INC.
Entity Type:Organization
Organization Name:SILVER YEARS HOME HEALTH SERVICES, INC.
Other - Org Name:CAIRO HOME CARE-BROWARD
Other - Org Type:Doing Business As
Authorized Official - Title/Position:CORPORATE OFFICER
Authorized Official - Prefix:
Authorized Official - First Name:YELENA
Authorized Official - Middle Name:C,
Authorized Official - Last Name:GADEA
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:786-512-4337
Mailing Address - Street 1:PO BOX 246618
Mailing Address - Street 2:
Mailing Address - City:PEMBROKE PINES
Mailing Address - State:FL
Mailing Address - Zip Code:33024-0126
Mailing Address - Country:US
Mailing Address - Phone:786-512-4337
Mailing Address - Fax:954-450-0365
Practice Address - Street 1:600 S FEDERAL HWY STE 211
Practice Address - Street 2:
Practice Address - City:DEERFIELD BCH
Practice Address - State:FL
Practice Address - Zip Code:33441-4199
Practice Address - Country:US
Practice Address - Phone:954-450-0764
Practice Address - Fax:954-450-0365
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-11-13
Last Update Date:2020-12-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FL299992463251E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL109030Medicare Oscar/Certification