MEDICARE: NURSES & COMPANY PRIVATE SERVICES, 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	251E00000X	Home Health Agency
2	253Z00000X	In Home Supportive Care Agency		MO

General Provider Information

NPI Number	:	1912218736
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	NURSES & COMPANY PRIVATE SERVICES, INC.

Provider Business Mailing Address
First Line	:	115 PIPER HILL DR
Second Line	:	STE 200
City	:	SAINT PETERS
State	:	MO
Zip	:	63376-2589
Country	:	US
Telephone Number	:	636-926-3722
Fax Number	:	636-926-3872

Provider Business Practice Location Address
First Line	:	115 PIPER HILL DR
Second Line	:	STE 200
City	:	SAINT PETERS
State	:	MO
Zip	:	63376-2589
Country	:	US
Telephone Number	:	636-926-3722
Fax Number	:	636-926-3872

Authorized Official
Title or Position	:	DIRECTOR OF OPERATIONS
Name	:	LYNN CHARTRAND
Credential	:
Telephone Number	:	636-926-3722

Provider Enumeration Date	:	06/25/2010
Last Update Date	:	08/30/2011

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