Provider Demographics
NPI:1033417944
Name:NURSING PRACTITIONER SERVICES, INC.
Entity Type:Organization
Organization Name:NURSING PRACTITIONER SERVICES, INC.
Other - Org Name:SENIOR HOME COMPANIONS
Other - Org Type:Doing Business As
Authorized Official - Title/Position:VICE-PRESIDENT
Authorized Official - Prefix:MRS
Authorized Official - First Name:CAROL
Authorized Official - Middle Name:ELIZABETH
Authorized Official - Last Name:DEMARCO
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:626-358-0322
Mailing Address - Street 1:517 SOUTH MYRTLE AVENUE
Mailing Address - Street 2:SUITE 101
Mailing Address - City:MONROVIA
Mailing Address - State:CA
Mailing Address - Zip Code:91016-6100
Mailing Address - Country:US
Mailing Address - Phone:626-358-0322
Mailing Address - Fax:626-358-0332
Practice Address - Street 1:517 S MYRTLE AVENUE
Practice Address - Street 2:SUITE 101
Practice Address - City:MONROVIA
Practice Address - State:CA
Practice Address - Zip Code:91016-6100
Practice Address - Country:US
Practice Address - Phone:626-358-0322
Practice Address - Fax:626-358-0332
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2011-03-02
Last Update Date:2011-03-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NOT APPLICABLE253Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes253Z00000XAgenciesIn Home Supportive Care