MEDICARE: COS NURSES, INC

Medicare Provider Information

Scope of Practice

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

#	Taxonomy Code	Taxonomy
1	163W00000X	Registered Nurse
2	163WC0400X	Case Management Registered Nurse
3	163WC1500X	Community Health Registered Nurse
4	163WD0400X	Diabetes Educator Registered Nurse
5	163WH0200X	Home Health Registered Nurse
6	163WP2201X	Ambulatory Care Registered Nurse
7	164X00000X	Licensed Vocational Nurse
8	374U00000X	Home Health Aide
9	164W00000X	Licensed Practical Nurse

General Provider Information

NPI Number	:	1144554486
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	COS NURSES, INC

Provider Business Mailing Address
First Line	:	1175 NW 125TH ST
Second Line	:	STE 204
City	:	NORTH MIAMI
State	:	FL
Zip	:	33168-6437
Country	:	US
Telephone Number	:	305-892-6556
Fax Number	:	305-892-6551

Provider Business Practice Location Address
First Line	:	1175 NW 125TH ST
Second Line	:	STE 204
City	:	NORTH MIAMI
State	:	FL
Zip	:	33168-6437
Country	:	US
Telephone Number	:	305-892-6556
Fax Number	:	305-892-6551

Authorized Official
Title or Position	:	PRESIDENT
Name	:	MRS. CYNTHIA O SANDERS
Credential	:
Telephone Number	:	305-892-6556

Provider Enumeration Date	:	09/18/2009
Last Update Date	:	09/18/2009

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