1083683809 NPI number — NURSES AND MORE, INC.

Table of content: (NPI 1083683809)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1083683809 NPI number — NURSES AND MORE, INC.

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
NURSES AND MORE, 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:
Provider Other Organization Name Type Code:
6
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:
1083683809
Entity Type Code:
Organization
Replacement NPI:
Last Update Date:
05/05/2017
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
8925 N MERIDIAN ST
Provider Second Line Business Mailing Address:
SUITE 110
Provider Business Mailing Address City Name:
INDIANAPOLIS
Provider Business Mailing Address State Name:
IN
Provider Business Mailing Address Postal Code:
46260-2386
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
317-818-4400
Provider Business Mailing Address Fax Number:
855-644-0055

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
1100 KENILWORTH AVE
Provider Second Line Business Practice Location Address:
SUITE 205
Provider Business Practice Location Address City Name:
CHARLOTTE
Provider Business Practice Location Address State Name:
NC
Provider Business Practice Location Address Postal Code:
28204-2959
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
704-335-7241
Provider Business Practice Location Address Fax Number:
704-335-8434
Provider Enumeration Date:
03/15/2006

Additional Information

Authorized Official

Authorized Official Last Name:
BYER
Authorized Official First Name:
CYNTHIA
Authorized Official Middle Name:
LYNN
Authorized Official Title or Position:
CFO
Authorized Official Telephone Number:
765-644-0055

Provider Taxonomy Codes

  • Taxonomy code: 251F00000X , with the licence number:  HC0211 , registered in the state of NC ; information, associated with the NPI states the following Primary Taxonomy Switch: "N" .
  • Taxonomy code: 251J00000X , with the licence number: HC0211 , registered in the state of NC ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .
  • Taxonomy code: 253Z00000X , with the licence number: HC0211 , registered in the state of NC ; information, associated with the NPI states the following Primary Taxonomy Switch: "N" .

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

  • Identifier: 7100246 , issued by the state of ( NC ) . This identifiers is of the category "MEDICAID".
  • Identifier: 3408781 , issued by the state of ( NC ) . This identifiers is of the category "MEDICAID".
  • Identifier: 6600421 , issued by the state of ( NC ) . This identifiers is of the category "MEDICAID".




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