MEDICARE: INDEPENDENT NURSING SERVICES, INC.

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	251E00000X	Home Health Agency		TX

General Provider Information

NPI Number	:	1033341631
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	INDEPENDENT NURSING SERVICES, INC.

Provider Business Mailing Address
First Line	:	7166 BAKER BLVD STE B
Second Line	:
City	:	RICHLAND HILLS
State	:	TX
Zip	:	76118-5801
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	7166 BAKER BLVD STE B
Second Line	:
City	:	RICHLAND HILLS
State	:	TX
Zip	:	76118-5801
Country	:	US
Telephone Number	:	817-595-3291
Fax Number	:

Authorized Official
Title or Position	:	CEO
Name	:	MRS. LAURA YEAGER
Credential	:	RN
Telephone Number	:	817-595-3291

Provider Enumeration Date	:	08/14/2009
Last Update Date	:	08/14/2009

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