Provider Demographics
NPI:1073152377
Name:NURSING INCORPORATED HEALTHCARE AGENCY, LLC
Entity Type:Organization
Organization Name:NURSING INCORPORATED HEALTHCARE AGENCY, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:ADMINISTRATOR
Authorized Official - Prefix:
Authorized Official - First Name:TAMICA
Authorized Official - Middle Name:
Authorized Official - Last Name:WARD
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:504-208-8807
Mailing Address - Street 1:711 FM 1959 RD APT 405
Mailing Address - Street 2:
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77034-5467
Mailing Address - Country:US
Mailing Address - Phone:504-208-8807
Mailing Address - Fax:
Practice Address - Street 1:711 FM 1959 RD APT 405
Practice Address - Street 2:
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77034-5467
Practice Address - Country:US
Practice Address - Phone:504-208-8807
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-01-03
Last Update Date:2020-01-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes253Z00000XAgenciesIn Home Supportive Care