MEDICARE: NURSERIGHT HEALTH SERVICES

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	253Z00000X	In Home Supportive Care Agency

General Provider Information

NPI Number	:	1497992630
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	NURSERIGHT HEALTH SERVICES

Provider Business Mailing Address
First Line	:	6338 RED HAVEN RD
Second Line	:
City	:	COLUMBIA
State	:	MD
Zip	:	21045-5407
Country	:	US
Telephone Number	:	410-381-0630
Fax Number	:	410-381-0631

Provider Business Practice Location Address
First Line	:	6338 RED HAVEN RD
Second Line	:
City	:	COLUMBIA
State	:	MD
Zip	:	21045-5407
Country	:	US
Telephone Number	:	410-381-0630
Fax Number	:	410-381-0631

Authorized Official
Title or Position	:	CEO
Name	:	MS. SHARON PAYNE
Credential	:	RN
Telephone Number	:	410-381-0630

Provider Enumeration Date	:	01/09/2009
Last Update Date	:	01/09/2009

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