Healthcare Provider Details
I. General information
NPI: 1093778466
Provider Name (Legal Business Name): NURSES R US INC.
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 04/07/2006
Last Update Date: 04/09/2008
Certification Date:
Deactivation Date:
Reactivation Date:
III. Provider practice location address
500 N MAIN ST SUITE A
RANDOLPH MA
02368-6700
US
IV. Provider business mailing address
500 N MAIN ST SUITE A
RANDOLPH MA
02368-6700
US
V. Phone/Fax
- Phone: 781-961-2210
- Fax: 781-961-0804
- Phone: 781-961-2210
- Fax: 781-961-0804
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | N |
| Taxonomy Code | 163W00000X |
| Taxonomy | Registered Nurse |
| License Number | T5X3 |
| License Number State | MA |
| # 2 | |
| Primary Taxonomy | N |
| Taxonomy Code | 163WC1500X |
| Taxonomy | Community Health Registered Nurse |
| License Number | T5X3 |
| License Number State | MA |
| # 3 | |
| Primary Taxonomy | N |
| Taxonomy Code | 374U00000X |
| Taxonomy | Home Health Aide |
| License Number | T5X3 |
| License Number State | MA |
| # 4 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 376K00000X |
| Taxonomy | Nurse's Aide |
| License Number | T5X3 |
| License Number State | MA |
VIII. Authorized Official
Name: MS.
ERNA
JEAN-LOUIS
Title or Position: CEO/NURSING ADMINISTRATOR
Credential: RN, BSN, MBA
Phone: 781-961-0804