MEDICARE: CENTRAL NURSES DIRECTORY, 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		CA

Other Identifiers

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

General Provider Information

NPI Number	:	1588774442
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	CENTRAL NURSES DIRECTORY, INC.

Provider Business Mailing Address
First Line	:	3580 WILSHIRE BLVD STE 1195
Second Line	:
City	:	LOS ANGELES
State	:	CA
Zip	:	90010-2501
Country	:	US
Telephone Number	:	213-385-2780
Fax Number	:	213-385-7334

Provider Business Practice Location Address
First Line	:	3580 WILSHIRE BLVD STE 1195
Second Line	:
City	:	LOS ANGELES
State	:	CA
Zip	:	90010-2501
Country	:	US
Telephone Number	:	213-385-2780
Fax Number	:	213-385-7334

Authorized Official
Title or Position	:	PRESIDENT
Name	:	MS. MAXINE MCDONALD
Credential	:
Telephone Number	:	213-385-2780

Provider Enumeration Date	:	08/30/2006
Last Update Date	:	08/22/2020

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