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NPI Code Detail

MEDICARE: NURSECORE MANAGEMENT SERVICES, LLC

MEDICARE: NURSECORE MANAGEMENT SERVICES, 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
1251E00000XHome Health Agency580HHANV

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1548204886
Entity Type Code : Organization
Provider Name (Legal Business Name) : NURSECORE MANAGEMENT SERVICES, LLC
Provider Business Mailing Address
First Line : PO BOX 201925
Second Line :
City : ARLINGTON
State : TX
Zip : 76006-1925
Country : US
Telephone Number : 817-649-1166
Fax Number : 817-649-2638
Provider Business Practice Location Address
First Line : 4423 W FLAMINGO RD
Second Line :
City : LAS VEGAS
State : NV
Zip : 89103-3703
Country : US
Telephone Number : 702-458-1137
Fax Number : 702-458-1423
Authorized Official
Title or Position : PRESIDENT / CEO
Name : MRS. DEBORAH Y LOLLAR
Credential :
Telephone Number : 817-649-1166
Provider Enumeration Date : 06/16/2006
Last Update Date : 04/19/2022

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Directions to “NURSECORE MANAGEMENT SERVICES, LLC ” Practice Location

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