Provider Demographics
NPI:1043416779
Name:NURSES HOME SERVICES, INC.
Entity Type:Organization
Organization Name:NURSES HOME SERVICES, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:ADMINISTRATOR/CEO
Authorized Official - Prefix:MR
Authorized Official - First Name:RONNIE
Authorized Official - Middle Name:J
Authorized Official - Last Name:ROSE
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:713-729-0600
Mailing Address - Street 1:6030 DENSMORE DR
Mailing Address - Street 2:
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77035-5312
Mailing Address - Country:US
Mailing Address - Phone:713-729-0600
Mailing Address - Fax:713-729-0603
Practice Address - Street 1:6030 DENSMORE DR
Practice Address - Street 2:
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77035-5312
Practice Address - Country:US
Practice Address - Phone:713-729-0600
Practice Address - Fax:713-729-0603
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-06-21
Last Update Date:2013-08-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX004622251E00000X
TX458479251E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX001004387Medicaid
TX458479Medicare ID - Type UnspecifiedPROVIDER NUMBER
TX001004387Medicaid