Healthcare Provider Details

I. General information

NPI: 1326273673
Provider Name (Legal Business Name): NURSING CARE SERVICES, INC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/15/2009
Last Update Date: 05/15/2009
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2031 N BROAD ST SUITE 113
LANSDALE PA
19446-1063
US

IV. Provider business mailing address

2031 N BROAD ST SUITE 113
LANSDALE PA
19446-1063
US

V. Phone/Fax

Practice location:
  • Phone: 215-631-3100
  • Fax: 215-631-1627
Mailing address:
  • Phone: 215-631-3100
  • Fax: 215-631-1627

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code251E00000X
TaxonomyHome Health Agency
License Number03220501
License Number StatePA
# 2
Primary TaxonomyN
Taxonomy Code251F00000X
TaxonomyHome Infusion Agency
License Number03220501
License Number StatePA
# 3
Primary TaxonomyN
Taxonomy Code251J00000X
TaxonomyNursing Care Agency
License Number03220501
License Number StatePA
# 4
Primary TaxonomyN
Taxonomy Code251S00000X
TaxonomyCommunity/Behavioral Health Agency
License Number03220501
License Number StatePA
# 5
Primary TaxonomyN
Taxonomy Code253Z00000X
TaxonomyIn Home Supportive Care Agency
License Number03220501
License Number StatePA

VIII. Authorized Official

Name: MS. DIANE M. BOERNER
Title or Position: PRESIDENT
Credential: RN
Phone: 215-631-1200