Provider Demographics
NPI:1063467553
Name:NURSES THAT CARE INC
Entity Type:Organization
Organization Name:NURSES THAT CARE INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:ADMINISTRATOR OWNER
Authorized Official - Prefix:MRS
Authorized Official - First Name:DEBRA
Authorized Official - Middle Name:LOUISE
Authorized Official - Last Name:ADAMS KOLTES
Authorized Official - Suffix:
Authorized Official - Credentials:RN
Authorized Official - Phone:218-724-2800
Mailing Address - Street 1:1932 LONDON RD
Mailing Address - Street 2:
Mailing Address - City:DULUTH
Mailing Address - State:MN
Mailing Address - Zip Code:55812-2038
Mailing Address - Country:US
Mailing Address - Phone:218-724-2800
Mailing Address - Fax:218-724-8200
Practice Address - Street 1:1932 LONDON RD
Practice Address - Street 2:
Practice Address - City:DULUTH
Practice Address - State:MN
Practice Address - Zip Code:55812-2038
Practice Address - Country:US
Practice Address - Phone:218-724-2800
Practice Address - Fax:218-724-8200
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-05-23
Last Update Date:2012-04-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MN331891251E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
MN487497800Medicaid
248002Medicare ID - Type Unspecified