# GRANNY NANNIES OF NORTH AMERICA LLC

> Is this information incorrect? This page shows public data from NPPES. Update your record in NPPES and this page will update automatically within 7 days. [Update your NPPES record](https://nppes.cms.hhs.gov)

- **Entity:** Organization
- **Status:** Active
- **Other names:** Granny NANNIES
- **Organization subpart:** No

## Provider details

- **NPI number:** 1760604664
- **Authorized official:** MR. ROBERT DOUGLAS HODGSON (MEMBER)
- **Authorized official phone:** (407) 682-7758

## Contact information

- **Practice address:** 1912 BOOTHE CIR, SUITE 300, LONGWOOD, FL 32750-6709
- **Practice address phone:** (407) 682-7758
- **Practice address fax:** (407) 682-4569
- **Mailing address:** 1912 BOOTHE CIR, SUITE 300, LONGWOOD, FL 32750-6709
- **Mailing address phone:** (407) 682-7758
- **Mailing address fax:** (407) 682-4569

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 253Z00000X | In Home Supportive Care Agency | — | NULL | Yes |

## Other

- **Enumeration date:** 05/02/2007
- **Last updated:** 08/05/2022