Healthcare Provider Details
I. General information
NPI: 1427745389
Provider Name (Legal Business Name): FOX NURSING AND HEALTH SERVICES, PC
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 04/20/2023
Last Update Date: 03/08/2024
Certification Date: 03/08/2024
Deactivation Date:
Reactivation Date:
III. Provider practice location address
8500 WILSHIRE BLVD STE 740
BEVERLY HILLS CA
90211-3121
US
IV. Provider business mailing address
1050 E FLAMINGO RD # S1071466
LAS VEGAS NV
89119-7427
US
V. Phone/Fax
- Phone: 888-666-5254
- Fax: 323-503-1691
- Phone: 888-666-5254
- Fax: 323-503-1691
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | N |
| Taxonomy Code | 261QM0850X |
| Taxonomy | Adult Mental Health Clinic/Center |
| License Number | |
| License Number State | |
| # 2 | |
| Primary Taxonomy | N |
| Taxonomy Code | 363LA2200X |
| Taxonomy | Adult Health Nurse Practitioner |
| License Number | |
| License Number State | |
| # 3 | |
| Primary Taxonomy | N |
| Taxonomy Code | 363LF0000X |
| Taxonomy | Family Nurse Practitioner |
| License Number | |
| License Number State | |
| # 4 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 363LP0808X |
| Taxonomy | Psychiatric/Mental Health Nurse Practitioner |
| License Number | |
| License Number State | |
VIII. Authorized Official
Name:
RODNEY
PAUL
FOX
Title or Position: CEO AND PRESIDENT
Credential: PMHNP, FNP
Phone: 888-666-5254