Healthcare Provider Details
I. General information
NPI: 1497037063
Provider Name (Legal Business Name): NURSING ENTERPRISES, INC.
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 09/09/2011
Last Update Date: 09/09/2011
Certification Date:
Deactivation Date:
Reactivation Date:
III. Provider practice location address
5101 WISCONSIN AVENUE NW, SUITE 250
WASHINGTON DC
20016
US
IV. Provider business mailing address
5101 WISCONSIN AVENUE NW, SUITE 250
WASHINGTON DC
20016
US
V. Phone/Fax
- Phone: 202-526-2400
- Fax: 202-832-0203
- Phone: 202-526-2400
- Fax: 202-832-0203
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | N |
| Taxonomy Code | 251E00000X |
| Taxonomy | Home Health Agency |
| License Number | HH-7127 |
| License Number State | MD |
| # 2 | |
| Primary Taxonomy | N |
| Taxonomy Code | 251J00000X |
| Taxonomy | Nursing Care Agency |
| License Number | HCA-0016 |
| License Number State | DC |
| # 3 | |
| Primary Taxonomy | N |
| Taxonomy Code | 251J00000X |
| Taxonomy | Nursing Care Agency |
| License Number | HH-7127 |
| License Number State | MD |
| # 4 | |
| Primary Taxonomy | N |
| Taxonomy Code | 253Z00000X |
| Taxonomy | In Home Supportive Care Agency |
| License Number | HCA-0016 |
| License Number State | DC |
| # 5 | |
| Primary Taxonomy | N |
| Taxonomy Code | 253Z00000X |
| Taxonomy | In Home Supportive Care Agency |
| License Number | HH-7127 |
| License Number State | MD |
| # 6 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 251E00000X |
| Taxonomy | Home Health Agency |
| License Number | HCA-0016 |
| License Number State | DC |
VIII. Authorized Official
Name: MS.
MYRTHE
GOMEZ
Title or Position: PRESIDENT, CEO
Credential:
Phone: 202-526-2400