1306163951 NPI number — CALLING ALL NURSES, LLC

Table of content: (NPI 1306163951)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1306163951 NPI number — CALLING ALL NURSES, LLC

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
CALLING ALL NURSES, LLC
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:
1306163951
Entity Type Code:
Organization
Replacement NPI:
Last Update Date:
04/22/2010
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
3701 MALDEN AVE
Provider Second Line Business Mailing Address:
SUITE E
Provider Business Mailing Address City Name:
BALTIMORE
Provider Business Mailing Address State Name:
MD
Provider Business Mailing Address Postal Code:
21211-1386
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
410-542-2222
Provider Business Mailing Address Fax Number:
410-542-2288

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
4151 MEMORIAL DR
Provider Second Line Business Practice Location Address:
SUITE 203F
Provider Business Practice Location Address City Name:
DECATUR
Provider Business Practice Location Address State Name:
GA
Provider Business Practice Location Address Postal Code:
30032-1504
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
404-499-8823
Provider Business Practice Location Address Fax Number:
404-499-8824
Provider Enumeration Date:
04/22/2010

Additional Information

			
		

Authorized Official

Authorized Official Last Name:
NORE
Authorized Official First Name:
GERALDINE
Authorized Official Middle Name:
Authorized Official Title or Position:
VICE PRESIDENT
Authorized Official Telephone Number:
410-542-2222

Provider Taxonomy Codes

  • Taxonomy code: 251J00000X , with the licence number:  00208811 , registered in the state of GA ; information, associated with the NPI states the following Primary Taxonomy Switch: "N" .
  • Taxonomy code: 251J00000X , with the licence number: 0702007 , registered in the state of MD ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .
  • Taxonomy code: 253Z00000X , with the licence number: 044R0699 , registered in the state of GA ; information, associated with the NPI states the following Primary Taxonomy Switch: "N" .

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