1558372623 NPI number — NIGHTINGALE SERVICES, INC.

Table of content: (NPI 1558372623)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1558372623 NPI number — NIGHTINGALE SERVICES, INC.

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
NIGHTINGALE SERVICES, INC.
Provider Last Name:
Provider First Name:
Provider Middle Name:
Provider Name Prefix Text:
Provider Name Suffix Text:
Provider Credential Text:
Provider Gender Code:

Provider's Other Name Information

Provider Other Organization Name:
NIGHTINGALE SERVICES, INC.
Provider Other Organization Name Type Code:
4
Provider Other Last Name:
Provider Other First Name:
Provider Other Middle Name:
Provider Other Name Prefix Text:
Provider Other Name Suffix Text:
Provider Other Credential Text:
Provider Other Last Name Type Code:

NPI Number Information

NPI Number:
1558372623
Entity Type Code:
Organization
Replacement NPI:
Last Update Date:
04/28/2022
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
9100 WHITE BLUFF RD
Provider Second Line Business Mailing Address:
STE 301
Provider Business Mailing Address City Name:
SAVANNAH
Provider Business Mailing Address State Name:
GA
Provider Business Mailing Address Postal Code:
31406-4670
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
912-355-6472
Provider Business Mailing Address Fax Number:
912-691-4716

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
9100 WHITE BLUFF RD
Provider Second Line Business Practice Location Address:
STE 301
Provider Business Practice Location Address City Name:
SAVANNAH
Provider Business Practice Location Address State Name:
GA
Provider Business Practice Location Address Postal Code:
31406
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
912-355-6472
Provider Business Practice Location Address Fax Number:
912-691-4716
Provider Enumeration Date:
08/11/2006

Additional Information

Authorized Official

Authorized Official Last Name:
KAESER
Authorized Official First Name:
HEATHER
Authorized Official Middle Name:
Authorized Official Title or Position:
CEO / OWNER
Authorized Official Telephone Number:
912-355-6472

Provider Taxonomy Codes

  • Taxonomy code: 251E00000X , with the licence number:  025R0022 , registered in the state of GA ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .
  • Taxonomy code: 251E00000X , with the licence number: 121R0416 , registered in the state of GA ; information, associated with the NPI states the following Primary Taxonomy Switch: "N" .
  • Taxonomy code: 251E00000X , with the licence number: 029R0016 , registered in the state of GA ; information, associated with the NPI states the following Primary Taxonomy Switch: "N" .
  • Taxonomy code: 251E00000X , with the licence number: 011R0045 , registered in the state of GA ; information, associated with the NPI states the following Primary Taxonomy Switch: "N" .
  • Taxonomy code: 251E00000X , with the licence number: 016R0006 , registered in the state of GA ; information, associated with the NPI states the following Primary Taxonomy Switch: "N" .
  • Taxonomy code: 251E00000X , with the licence number: 034R0005 , registered in the state of GA ; information, associated with the NPI states the following Primary Taxonomy Switch: "N" .
  • Taxonomy code: 251E00000X , with the licence number: 008R0396 , registered in the state of GA ; information, associated with the NPI states the following Primary Taxonomy Switch: "N" .
  • Taxonomy code: 251E00000X , with the licence number: 083R0538 , registered in the state of GA ; information, associated with the NPI states the following Primary Taxonomy Switch: "N" .
  • Taxonomy code: 251E00000X , with the licence number: 047R0656 , registered in the state of GA ; information, associated with the NPI states the following Primary Taxonomy Switch: "N" .
  • Taxonomy code: 251E00000X , with the licence number: 020-R-0898 , registered in the state of GA ; information, associated with the NPI states the following Primary Taxonomy Switch: "N" .
  • Taxonomy code: 251E00000X , with the licence number: 093-R-0970 , registered in the state of GA ; information, associated with the NPI states the following Primary Taxonomy Switch: "N" .
  • Taxonomy code: 251E00000X , with the licence number: 106-R-1104 , registered in the state of GA ; information, associated with the NPI states the following Primary Taxonomy Switch: "N" .
  • Taxonomy code: 251E00000X ; information, associated with the NPI states the following Primary Taxonomy Switch: "N" .

Other Provider's Identifiers (legacy, non-NPI)

  • Identifier: 000407965AI , issued by the state of ( GA ) . This identifiers is of the category "MEDICAID".
  • Identifier: 000407965O , issued by the state of ( GA ) . This identifiers is of the category "MEDICAID".
  • Identifier: 000407965S , issued by the state of ( GA ) . This identifiers is of the category "MEDICAID".
  • Identifier: 000407965T , issued by the state of ( GA ) . This identifiers is of the category "MEDICAID".
  • Identifier: 00407965H , issued by the state of ( GA ) . This identifiers is of the category "MEDICAID".
  • Identifier: 000407965AA , issued by the state of ( GA ) . This identifiers is of the category "MEDICAID".
  • Identifier: 000407965AB , issued by the state of ( GA ) . This identifiers is of the category "MEDICAID".
  • Identifier: 000407965X , issued by the state of ( GA ) . This identifiers is of the category "MEDICAID".
  • Identifier: 000407965AC , issued by the state of ( GA ) . This identifiers is of the category "MEDICAID".
  • Identifier: 000407965N , issued by the state of ( GA ) . This identifiers is of the category "MEDICAID".
  • Identifier: 000407965W , issued by the state of ( GA ) . This identifiers is of the category "MEDICAID".
  • Identifier: 000407965AF , issued by the state of ( GA ) . This identifiers is of the category "MEDICAID".
  • Identifier: 000407965R , issued by the state of ( GA ) . This identifiers is of the category "MEDICAID".
  • Identifier: 000407965C , issued by the state of ( GA ) . This identifiers is of the category "MEDICAID".
  • Identifier: 000407965P , issued by the state of ( GA ) . This identifiers is of the category "MEDICAID".
  • Identifier: 000407965Y , issued by the state of ( GA ) . This identifiers is of the category "MEDICAID".
  • Identifier: 000407965AE , issued by the state of ( GA ) . This identifiers is of the category "MEDICAID".
  • Identifier: 000407965AH , issued by the state of ( GA ) . This identifiers is of the category "MEDICAID".
  • Identifier: 000407965I , issued by the state of ( GA ) . This identifiers is of the category "MEDICAID".
  • Identifier: 000407965U , issued by the state of ( GA ) . This identifiers is of the category "MEDICAID".




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