=====================================================
General NPI Number Information
=====================================================
NPI Number | 1942554449
-----------------------------------------------------
Entity Type | Organization
-----------------------------------------------------
Legal Business Name | NURSE'S ATTENDING AMERICA
-----------------------------------------------------
=====================================================
Dates
=====================================================
Enumeration Date | 11/05/2012
-----------------------------------------------------
Last Update Date | 11/05/2012
-----------------------------------------------------
=====================================================
Provider Practice Location Address
=====================================================
Address Line | 6725 SW 40TH ST
-----------------------------------------------------
City | DAVIE
-----------------------------------------------------
State | FL
-----------------------------------------------------
Zip | 33314-3203
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 954-661-3732
-----------------------------------------------------
Fax |
-----------------------------------------------------
=====================================================
Provider Business Mailing Address
=====================================================
Address Line | 6725 SW 40TH ST
-----------------------------------------------------
City | DAVIE
-----------------------------------------------------
State | FL
-----------------------------------------------------
Zip | 33314-3203
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 954-661-3732
-----------------------------------------------------
Fax |
-----------------------------------------------------
=====================================================
Authorized Official
=====================================================
Title or Position | PRESIDENT
-----------------------------------------------------
Name | MRS. JOSETTE LOPEZ
-----------------------------------------------------
Credential | RN
-----------------------------------------------------
Telephone | 954-661-3732
-----------------------------------------------------
=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
Taxonomy Code | 251E00000X
-----------------------------------------------------
Taxonomy Name | Home Health Agency
-----------------------------------------------------
License Number | RN9193567
-----------------------------------------------------
License Number State | FL
-----------------------------------------------------