MEDICARE: QUALITY NURSING LLC

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	2190HHA-12	NV

General Provider Information

NPI Number	:	1437292059
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	QUALITY NURSING LLC

Provider Business Mailing Address
First Line	:	2820 W CHARLESTON BLVD # D-40
Second Line	:
City	:	LAS VEGAS
State	:	NV
Zip	:	89102-1942
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	2820 W CHARLESTON BLVD # D-40
Second Line	:
City	:	LAS VEGAS
State	:	NV
Zip	:	89102-1942
Country	:	US
Telephone Number	:	702-531-8933
Fax Number	:

Authorized Official
Title or Position	:	ADMINISTRATOR
Name	:	CATHERINE JORDAN
Credential	:	RN
Telephone Number	:	702-531-8933

Provider Enumeration Date	:	02/14/2007
Last Update Date	:	11/05/2007

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