Healthcare Provider Details

I. General information

NPI: 1558605295
Provider Name (Legal Business Name): QUEST NURSING SERVICES LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 11/19/2012
Last Update Date: 11/19/2012
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2302 N CENTRAL AVE UNIT 504 UNIT 504
PHOENIX AZ
85004-1376
US

IV. Provider business mailing address

2302 N CENTRAL AVE UNIT 504 UNIT 504
PHOENIX AZ
85004-1376
US

V. Phone/Fax

Practice location:
  • Phone: 602-790-3253
  • Fax:
Mailing address:
  • Phone: 602-790-3253
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code251E00000X
TaxonomyHome Health Agency
License NumberRN161470
License Number StateAZ
# 2
Primary TaxonomyN
Taxonomy Code251F00000X
TaxonomyHome Infusion Agency
License Number161470
License Number StateAZ
# 3
Primary TaxonomyN
Taxonomy Code385H00000X
TaxonomyRespite Care
License Number161470
License Number StateAZ
# 4
Primary TaxonomyN
Taxonomy Code163W00000X
TaxonomyRegistered Nurse
License Number161470
License Number StateAZ

VIII. Authorized Official

Name: MS. PAULETTE YVONNE JONES
Title or Position: CEO
Credential: RN
Phone: 602-790-3253