Healthcare Provider Details

I. General information

NPI: 1174917181
Provider Name (Legal Business Name): NURSE2U LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 03/27/2015
Last Update Date: 03/27/2015
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4910 WATERBECK ST
FULSHEAR TX
77441-4151
US

IV. Provider business mailing address

4910 WATERBECK ST
FULSHEAR TX
77441-4151
US

V. Phone/Fax

Practice location:
  • Phone: 832-332-7278
  • Fax: 866-493-4007
Mailing address:
  • Phone: 832-332-7235
  • Fax: 866-493-4007

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code251E00000X
TaxonomyHome Health Agency
License Number
License Number StateTX
# 2
Primary TaxonomyN
Taxonomy Code253Z00000X
TaxonomyIn Home Supportive Care Agency
License Number1300
License Number StateTX

VIII. Authorized Official

Name: YEMU R JOHNSON
Title or Position: CFO
Credential:
Phone: 832-332-7235