Provider Demographics
NPI:1073631180
Name:NURSE ONE STAFFING, INC.
Entity Type:Organization
Organization Name:NURSE ONE STAFFING, INC.
Other - Org Name:NURSE ONE DME
Other - Org Type:Doing Business As
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:LUKE
Authorized Official - Middle Name:
Authorized Official - Last Name:ANAEJIONU
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:248-423-2755
Mailing Address - Street 1:24865 5 MILE RD
Mailing Address - Street 2:STE # 2
Mailing Address - City:REDFORD
Mailing Address - State:MI
Mailing Address - Zip Code:48239-3694
Mailing Address - Country:US
Mailing Address - Phone:313-559-1666
Mailing Address - Fax:313-255-2101
Practice Address - Street 1:24865 5 MILE RD
Practice Address - Street 2:STE # 2
Practice Address - City:REDFORD
Practice Address - State:MI
Practice Address - Zip Code:48239-3694
Practice Address - Country:US
Practice Address - Phone:313-559-1666
Practice Address - Fax:313-255-2101
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-03-27
Last Update Date:2008-10-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332B00000XSuppliersDurable Medical Equipment & Medical Supplies
Provider Identifiers
StateIdentifier IDID TypeIssuer
MI4549535Medicaid
MI4911490002Medicare NSC