1295094209 NPI number — FIRST CALL NURSING SERVICES, INC.

Table of content: MISS MARISA PERRY BS (NPI 1013239193)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1295094209 NPI number — FIRST CALL NURSING SERVICES, INC.

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
FIRST CALL 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:
Provider Other Organization Name Type Code:
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:
1295094209
Entity Type Code:
Organization
Replacement NPI:
Last Update Date:
05/10/2012
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
1313 N MILPITAS BLVD
Provider Second Line Business Mailing Address:
SUITE 210
Provider Business Mailing Address City Name:
MILPITAS
Provider Business Mailing Address State Name:
CA
Provider Business Mailing Address Postal Code:
95035-3180
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
408-262-1533
Provider Business Mailing Address Fax Number:
408-904-4912

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
1313 N MILPITAS BLVD
Provider Second Line Business Practice Location Address:
SUITE 210
Provider Business Practice Location Address City Name:
MILPITAS
Provider Business Practice Location Address State Name:
CA
Provider Business Practice Location Address Postal Code:
95035-3180
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
408-262-1533
Provider Business Practice Location Address Fax Number:
408-904-4912
Provider Enumeration Date:
05/10/2012

Additional Information

Authorized Official

Authorized Official Last Name:
CAMILLO
Authorized Official First Name:
CELINA
Authorized Official Middle Name:
Authorized Official Title or Position:
DIRECTOR OF NURSING
Authorized Official Telephone Number:
408-627-4835

Provider Taxonomy Codes

  • Taxonomy code: 251J00000X , with the licence number:  15729 , registered in the state of CA ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

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





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