Healthcare Provider Details

I. General information

NPI: 1285185447
Provider Name (Legal Business Name): OUR NURSES INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 10/21/2016
Last Update Date: 10/21/2016
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

227 MIDLAND AVE SUITE 12 B
BASALT CO
81621-8114
US

IV. Provider business mailing address

227 MIDLAND AVE SUITE 12 B
BASALT CO
81621-8114
US

V. Phone/Fax

Practice location:
  • Phone: 970-618-0578
  • Fax:
Mailing address:
  • Phone: 970-618-0578
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code251E00000X
TaxonomyHome Health Agency
License Number04R579
License Number StateCO

VII. Legacy identifiers

For crosswalk purposes, the following legacy (non-NPI) identifiers are available for this provider:

VIII. Authorized Official

Name: PROF. HELLEN DOANE
Title or Position: PRESIDENT
Credential: RN
Phone: 970-618-0578