MEDICARE: NURSE AT YOUR DOOR 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

General Provider Information

NPI Number	:	1629526827
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	NURSE AT YOUR DOOR LLC

Provider Business Mailing Address
First Line	:	369 S DOHENY DR
Second Line	:	210
City	:	BEVERLY HILLS
State	:	CA
Zip	:	90211-3508
Country	:	US
Telephone Number	:	844-746-4268
Fax Number	:

Provider Business Practice Location Address
First Line	:	369 S DOHENY DR
Second Line	:	210
City	:	BEVERLY HILLS
State	:	CA
Zip	:	90211-3508
Country	:	US
Telephone Number	:	844-746-4268
Fax Number	:

Authorized Official
Title or Position	:	CO-FOUNDER
Name	:	KELLY ROSENBERRY
Credential	:	RN
Telephone Number	:	844-746-4268

Provider Enumeration Date	:	09/15/2016
Last Update Date	:	09/15/2016

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