Healthcare Provider Details

I. General information

NPI: 1346819976
Provider Name (Legal Business Name): ALTRUISTIC NURSING SERVICES, INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 06/18/2021
Last Update Date: 06/18/2021
Certification Date: 06/18/2021
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1253 PARK ST
CLEARWATER FL
33756-5827
US

IV. Provider business mailing address

1253 PARK ST
CLEARWATER FL
33756-5827
US

V. Phone/Fax

Practice location:
  • Phone: 727-900-4370
  • Fax: 727-451-9709
Mailing address:
  • Phone: 727-900-4370
  • Fax: 727-451-9709

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code253Z00000X
TaxonomyIn Home Supportive Care Agency
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code332B00000X
TaxonomyDurable Medical Equipment & Medical Supplies
License Number
License Number State

VIII. Authorized Official

Name: MRS. CHRISTINA MARIE SISLER
Title or Position: DIRECTOR OF NURSING
Credential: RN
Phone: 269-274-7410