Healthcare Provider Details

I. General information

NPI: 1396739421
Provider Name (Legal Business Name): AMERICAN NURSING MANAGEMENT & CONSULTING, INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 09/04/2005
Last Update Date: 10/28/2021
Certification Date: 10/28/2021
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2105 BEVERLY BLVD STE 205
LOS ANGELES CA
90057-2268
US

IV. Provider business mailing address

2105 BEVERLY BLVD STE 205
LOS ANGELES CA
90057-2268
US

V. Phone/Fax

Practice location:
  • Phone: 213-572-0600
  • Fax: 213-572-0605
Mailing address:
  • Phone: 714-403-5211
  • Fax: 213-572-0605

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code251E00000X
TaxonomyHome Health Agency
License Number980000939
License Number StateCA
# 2
Primary TaxonomyN
Taxonomy Code332B00000X
TaxonomyDurable Medical Equipment & Medical Supplies
License Number
License Number State
# 3
Primary TaxonomyN
Taxonomy Code332BC3200X
TaxonomyCustomized Equipment (DME)
License Number
License Number State
# 4
Primary TaxonomyN
Taxonomy Code332BN1400X
TaxonomyNursing Facility Supplies (DME)
License Number
License Number State
# 5
Primary TaxonomyN
Taxonomy Code332BP3500X
TaxonomyParenteral & Enteral Nutrition Supplies (DME)
License Number
License Number State
# 6
Primary TaxonomyN
Taxonomy Code332BX2000X
TaxonomyOxygen Equipment & Supplies (DME)
License Number
License Number State

VIII. Authorized Official

Name: MR. RAJ N CONTRACTOR
Title or Position: ADMINISTRATOR
Credential:
Phone: 213-572-0600