Provider Demographics
NPI:1093051146
Name:NOW NURSE STAFFING THERAPY GROUP
Entity Type:Organization
Organization Name:NOW NURSE STAFFING THERAPY GROUP
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DIRECTOR
Authorized Official - Prefix:
Authorized Official - First Name:SHAWN
Authorized Official - Middle Name:D
Authorized Official - Last Name:MONROE
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:314-436-3200
Mailing Address - Street 1:1015 LOCUST ST
Mailing Address - Street 2:SUITE 909
Mailing Address - City:SAINT LOUIS
Mailing Address - State:MO
Mailing Address - Zip Code:63101-1334
Mailing Address - Country:US
Mailing Address - Phone:314-436-3200
Mailing Address - Fax:314-436-3204
Practice Address - Street 1:1015 LOCUST ST
Practice Address - Street 2:SUITE 909
Practice Address - City:SAINT LOUIS
Practice Address - State:MO
Practice Address - Zip Code:63101-1334
Practice Address - Country:US
Practice Address - Phone:314-436-3200
Practice Address - Fax:314-436-3204
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:NOW NURSE STAFFING
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2012-12-18
Last Update Date:2012-12-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical TherapistGroup - Multi-Specialty
No225X00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational TherapistGroup - Multi-Specialty
No227800000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersRespiratory Therapist, CertifiedGroup - Multi-Specialty
No235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language PathologistGroup - Multi-Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
MO0009841Medicaid