Healthcare Provider Details

I. General information

NPI: 1265616098
Provider Name (Legal Business Name): NURSES TO GO, LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 12/28/2007
Last Update Date: 12/28/2007
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

13975 MANCHESTER RD STE 5
BALLWIN MO
63011-4500
US

IV. Provider business mailing address

13975 MANCHESTER RD STE 5
BALLWIN MO
63011-4500
US

V. Phone/Fax

Practice location:
  • Phone: 636-227-2270
  • Fax: 636-227-4870
Mailing address:
  • Phone: 636-227-2270
  • Fax: 636-227-4870

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code251E00000X
TaxonomyHome Health Agency
License Number7264
License Number StateMO

VII. Legacy identifiers

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

# 1
Identifier1871548784
Identifier TypeOTHER
Identifier StateMO
Identifier IssuerMEDICARE NPI

VIII. Authorized Official

Name: CAROLYN MARIE TRINGALE
Title or Position: ADMINISTRATOR
Credential:
Phone: 636-227-2270