MEDICARE: NURSECORE MANAGEMENT SERVICES, LLC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy
1	376J00000X	Homemaker
2	385H00000X	Respite Care
3	251E00000X	Home Health Agency

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1457459786
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	NURSECORE MANAGEMENT SERVICES, LLC

Provider Business Mailing Address
First Line	:	PO BOX 201925
Second Line	:
City	:	ARLINGTON
State	:	TX
Zip	:	76006-1925
Country	:	US
Telephone Number	:	817-649-1166
Fax Number	:	817-649-2638

Provider Business Practice Location Address
First Line	:	5426 N ACADEMY BLVD STE 110
Second Line	:
City	:	COLORADO SPRINGS
State	:	CO
Zip	:	80918-3686
Country	:	US
Telephone Number	:	719-884-1388
Fax Number	:

Authorized Official
Title or Position	:	PRESIDENT/CEO
Name	:	DEBORAH LOLLAR
Credential	:
Telephone Number	:	817-649-1166

Provider Enumeration Date	:	09/20/2006
Last Update Date	:	04/19/2022

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