Healthcare Provider Details

I. General information

NPI: 1518702984
Provider Name (Legal Business Name): NURMUS HEALTH CARE, LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 06/27/2024
Last Update Date: 06/27/2024
Certification Date: 06/27/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

819 30TH AVE S STE 103C
MOORHEAD MN
56560-5000
US

IV. Provider business mailing address

819 30TH AVE S STE 103C
MOORHEAD MN
56560-5000
US

V. Phone/Fax

Practice location:
  • Phone: 571-426-9134
  • Fax: 218-483-0436
Mailing address:
  • Phone: 571-426-9134
  • Fax: 218-483-0436

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code163WH0200X
TaxonomyHome Health Registered Nurse
License Number
License Number State

VIII. Authorized Official

Name: NURAINE SALAAM
Title or Position: CEO
Credential: RN
Phone: 240-640-9901