Healthcare Provider Details

I. General information

NPI: 1538144738
Provider Name (Legal Business Name): NURSES TO GO, INC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 12/09/2005
Last Update Date: 08/17/2016
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

7800 SHOAL CREEK BLVD SUITE 145S
AUSTIN TX
78757-1098
US

IV. Provider business mailing address

8900 EMMETT F LOWRY EXPY SUITE 104
TEXAS CITY TX
77591-9116
US

V. Phone/Fax

Practice location:
  • Phone: 512-323-5577
  • Fax: 512-323-6670
Mailing address:
  • Phone: 409-935-7925
  • Fax: 409-935-7926

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code251G00000X
TaxonomyCommunity Based Hospice Care Agency
License Number3013
License Number StateTX
# 2
Primary TaxonomyY
Taxonomy Code251E00000X
TaxonomyHome Health Agency
License Number3013
License Number StateTX

VIII. Authorized Official

Name: WALTER F CROWDER
Title or Position: CEO
Credential:
Phone: 409-935-1234