MEDICARE: AMERICAN NURSING MANAGEMENT & CONSULTING, INC

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
1	332BX2000X	Oxygen Equipment & Supplies (DME)
2	332B00000X	Durable Medical Equipment & Medical Supplies
3	332BC3200X	Customized Equipment (DME)
4	332BN1400X	Nursing Facility Supplies (DME)
5	332BP3500X	Parenteral & Enteral Nutrition Supplies (DME)
6	251E00000X	Home Health Agency	980000939	CA

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	113132	OTHER	CA	HOME MEDICAL DEVICE & RENTAL

General Provider Information

NPI Number	:	1396739421
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	AMERICAN NURSING MANAGEMENT & CONSULTING, INC

Provider Business Mailing Address
First Line	:	2105 BEVERLY BLVD STE 205
Second Line	:
City	:	LOS ANGELES
State	:	CA
Zip	:	90057-2268
Country	:	US
Telephone Number	:	714-403-5211
Fax Number	:	213-572-0605

Provider Business Practice Location Address
First Line	:	2105 BEVERLY BLVD STE 205
Second Line	:
City	:	LOS ANGELES
State	:	CA
Zip	:	90057-2268
Country	:	US
Telephone Number	:	213-572-0600
Fax Number	:	213-572-0605

Authorized Official
Title or Position	:	ADMINISTRATOR
Name	:	MR. RAJ N CONTRACTOR
Credential	:
Telephone Number	:	213-572-0600

Provider Enumeration Date	:	09/04/2005
Last Update Date	:	10/28/2021

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Directions to “AMERICAN NURSING MANAGEMENT & CONSULTING, INC ” Practice Location

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