Healthcare Provider Details

I. General information

NPI: 1548873466
Provider Name (Legal Business Name): NURSE STAFFING AND CONCIERGE SERVICE
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/29/2020
Last Update Date: 10/07/2020
Certification Date: 10/07/2020
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4418 ECHO VALLEY DR
EAU CLAIRE WI
54701-2326
US

IV. Provider business mailing address

4418 ECHO VALLEY DR
EAU CLAIRE WI
54701-2326
US

V. Phone/Fax

Practice location:
  • Phone: 715-210-6000
  • Fax: 715-997-8776
Mailing address:
  • Phone: 715-210-6000
  • Fax: 715-997-8776

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code251E00000X
TaxonomyHome Health Agency
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code251F00000X
TaxonomyHome Infusion Agency
License Number
License Number State
# 3
Primary TaxonomyN
Taxonomy Code251J00000X
TaxonomyNursing Care Agency
License Number
License Number State
# 4
Primary TaxonomyN
Taxonomy Code385H00000X
TaxonomyRespite Care
License Number
License Number State

VIII. Authorized Official

Name: MS. ANEE VANG
Title or Position: OWNER/RN SUPERVISOR
Credential: RN
Phone: 715-210-6000