MEDICARE: NSI-NURSING SERVICE 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
2	251E00000X	Home Health Agency	03D0705200	AZ

General Provider Information

NPI Number	:	1316048820
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	NSI-NURSING SERVICE INC.

Provider Business Mailing Address
First Line	:	5995 E GRANT RD STE 107
Second Line	:
City	:	TUCSON
State	:	AZ
Zip	:	85712-2327
Country	:	US
Telephone Number	:	520-731-1117
Fax Number	:	520-731-1118

Provider Business Practice Location Address
First Line	:	5995 E GRANT RD STE 107
Second Line	:
City	:	TUCSON
State	:	AZ
Zip	:	85712-2327
Country	:	US
Telephone Number	:	520-731-1117
Fax Number	:	520-731-1118

Authorized Official
Title or Position	:	CONTRACTING MANAGER
Name	:	CATHERINE JEANNE CANFIELD
Credential	:
Telephone Number	:	520-731-1117

Provider Enumeration Date	:	09/26/2006
Last Update Date	:	01/13/2020

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