1770935025 NPI number — SOS NURSING SERVICES INC

Table of content: (NPI 1770935025)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1770935025 NPI number — SOS NURSING SERVICES INC

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
SOS NURSING 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:
SOS HEALTHCARE STAFFING
Provider Other Organization Name Type Code:
3
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:
1770935025
Entity Type Code:
Organization
Replacement NPI:
Last Update Date:
08/25/2016
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
2821 S PARKER RD STE 1255
Provider Second Line Business Mailing Address:
Provider Business Mailing Address City Name:
AURORA
Provider Business Mailing Address State Name:
CO
Provider Business Mailing Address Postal Code:
80014-2793
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
Provider Business Mailing Address Fax Number:

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
2821 S PARKER RD STE 1255
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
AURORA
Provider Business Practice Location Address State Name:
CO
Provider Business Practice Location Address Postal Code:
80014-2793
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
720-535-1236
Provider Business Practice Location Address Fax Number:
720-535-6930
Provider Enumeration Date:
07/11/2016

Additional Information

			
		

Authorized Official

Authorized Official Last Name:
HOLLINS
Authorized Official First Name:
RUTH
Authorized Official Middle Name:
Authorized Official Title or Position:
PRESIDENT
Authorized Official Telephone Number:
720-535-1236

Provider Taxonomy Codes

  • Taxonomy code: 251E00000X , with the licence number:  04A422 , registered in the state of CO ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

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