Provider Demographics
NPI:1083271332
Name:NURSING ACCREDITED SERVICE AT HOME INC.
Entity Type:Organization
Organization Name:NURSING ACCREDITED SERVICE AT HOME INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MRS
Authorized Official - First Name:BRENDA
Authorized Official - Middle Name:LIZ
Authorized Official - Last Name:QUILES
Authorized Official - Suffix:
Authorized Official - Credentials:RN
Authorized Official - Phone:939-243-4550
Mailing Address - Street 1:BE4 CALLE 101 APT 2
Mailing Address - Street 2:
Mailing Address - City:CAROLINA
Mailing Address - State:PR
Mailing Address - Zip Code:00983-2189
Mailing Address - Country:US
Mailing Address - Phone:939-243-4550
Mailing Address - Fax:787-752-9375
Practice Address - Street 1:BE4 CALLE 101 APT 2
Practice Address - Street 2:
Practice Address - City:CAROLINA
Practice Address - State:PR
Practice Address - Zip Code:00983-2189
Practice Address - Country:US
Practice Address - Phone:939-243-4550
Practice Address - Fax:787-752-9375
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2019-05-22
Last Update Date:2019-05-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health