=====================================================
General NPI Number Information
=====================================================
NPI Number | 1427145325
-----------------------------------------------------
Entity Type | Organization
-----------------------------------------------------
Legal Business Name | NATIONAL NURSES SERVICE, INC.
-----------------------------------------------------
=====================================================
Dates
=====================================================
Enumeration Date | 10/10/2006
-----------------------------------------------------
Last Update Date | 07/09/2008
-----------------------------------------------------
=====================================================
Provider Practice Location Address
=====================================================
Address Line | 4104 E PARHAM RD STE C
-----------------------------------------------------
City | RICHMOND
-----------------------------------------------------
State | VA
-----------------------------------------------------
Zip | 23228-2746
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 804-755-7596
-----------------------------------------------------
Fax | 804-755-7594
-----------------------------------------------------
=====================================================
Provider Business Mailing Address
=====================================================
Address Line | 25 WINCHESTER ST
-----------------------------------------------------
City | WARRENTON
-----------------------------------------------------
State | VA
-----------------------------------------------------
Zip | 20186-2825
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 540-347-3919
-----------------------------------------------------
Fax | 540-347-3720
-----------------------------------------------------
=====================================================
Authorized Official
=====================================================
Title or Position | CFO
-----------------------------------------------------
Name | FLORENCE GILPIN
-----------------------------------------------------
Credential |
-----------------------------------------------------
Telephone | 540-347-4901
-----------------------------------------------------
=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
Taxonomy Code | 251J00000X
-----------------------------------------------------
Taxonomy Name | Nursing Care Agency
-----------------------------------------------------
License Number | N/A
-----------------------------------------------------
License Number State |
-----------------------------------------------------