MEDICARE: NURSES TO GO, 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	163WH0200X	Home Health Registered Nurse	7264	MO
2	372500000X	Chore Provider	7264	MO
3	374U00000X	Home Health Aide	7264	MO
4	376J00000X	Homemaker	7264	MO
5	376K00000X	Nurse's Aide	7264	MO
6	251E00000X	Home Health Agency	7264	MO

General Provider Information

NPI Number	:	1437333267
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	NURSES TO GO, LLC

Provider Business Mailing Address
First Line	:	13975 MANCHESTER RD STE 5
Second Line	:
City	:	BALLWIN
State	:	MO
Zip	:	63011-4500
Country	:	US
Telephone Number	:	636-227-2270
Fax Number	:

Provider Business Practice Location Address
First Line	:	13975 MANCHESTER RD STE 5
Second Line	:
City	:	BALLWIN
State	:	MO
Zip	:	63011-4500
Country	:	US
Telephone Number	:	636-227-2270
Fax Number	:

Authorized Official
Title or Position	:	ADMINISTRATOR
Name	:	CAROLYN MARIE TRINGALE
Credential	:
Telephone Number	:	636-227-2270

Provider Enumeration Date	:	12/28/2007
Last Update Date	:	12/28/2007

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