MEDICARE: MEDINURSE 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	3747P1801X	Personal Care Attendant

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	:	1962418442
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	MEDINURSE INC

Provider Business Mailing Address
First Line	:	16338 YABBIE DR
Second Line	:
City	:	SUGAR LAND
State	:	TX
Zip	:	77498-7630
Country	:	US
Telephone Number	:	281-565-0989
Fax Number	:	281-565-1486

Provider Business Practice Location Address
First Line	:	16338 YABBIE DR
Second Line	:
City	:	SUGAR LAND
State	:	TX
Zip	:	77498-7630
Country	:	US
Telephone Number	:	281-565-0989
Fax Number	:	281-565-1486

Authorized Official
Title or Position	:	ADMINISTRATOR
Name	:	MR. CHRIS OSAGIE
Credential	:	RN
Telephone Number	:	832-788-9051

Provider Enumeration Date	:	08/01/2006
Last Update Date	:	02/21/2022

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Directions to “MEDINURSE INC ” Practice Location

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