Healthcare Provider Details

I. General information

NPI: 1427213719
Provider Name (Legal Business Name): NURSES PLUS HEALTHCARE LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/25/2008
Last Update Date: 08/11/2008
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

15600 N BLACK CANYON HWY STE C202
PHOENIX AZ
85053-4055
US

IV. Provider business mailing address

PO BOX 9576
PHOENIX AZ
85068-9576
US

V. Phone/Fax

Practice location:
  • Phone: 602-285-0535
  • Fax:
Mailing address:
  • Phone: 602-285-0535
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code251E00000X
TaxonomyHome Health Agency
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code251S00000X
TaxonomyCommunity/Behavioral Health Agency
License Number
License Number State
# 3
Primary TaxonomyY
Taxonomy Code251J00000X
TaxonomyNursing Care Agency
License Number
License Number State

VIII. Authorized Official

Name: MR. BYRON AUGUSTINE
Title or Position: MEMBER
Credential:
Phone: 602-285-0535