Provider Demographics
NPI:1033346945
Name:NURSING HOME CONSULTANTS LLC
Entity Type:Organization
Organization Name:NURSING HOME CONSULTANTS LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MANAGING MANAGER
Authorized Official - Prefix:
Authorized Official - First Name:GLENN
Authorized Official - Middle Name:
Authorized Official - Last Name:GIDSEG
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:561-870-6233
Mailing Address - Street 1:365 STIRRUP KEY BLVD
Mailing Address - Street 2:
Mailing Address - City:MARATHON
Mailing Address - State:FL
Mailing Address - Zip Code:33050-2943
Mailing Address - Country:US
Mailing Address - Phone:561-870-6233
Mailing Address - Fax:
Practice Address - Street 1:365 STIRRUP KEY BLVD
Practice Address - Street 2:
Practice Address - City:MARATHON
Practice Address - State:FL
Practice Address - Zip Code:33050-2943
Practice Address - Country:US
Practice Address - Phone:561-870-6233
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2009-06-18
Last Update Date:2009-06-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal MedicineGroup - Single Specialty