Provider Demographics
NPI:1104361302
Name:NURSE NEXT DOOR
Entity Type:Organization
Organization Name:NURSE NEXT DOOR
Other - Org Name:BUSS GROUP LLC
Other - Org Type:Former Legal Business Name
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:ROBERTA
Authorized Official - Middle Name:
Authorized Official - Last Name:BUSS
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:414-520-1697
Mailing Address - Street 1:W127S9616 SCOTT KRAUSE CT
Mailing Address - Street 2:
Mailing Address - City:MUSKEGO
Mailing Address - State:WI
Mailing Address - Zip Code:53150-5313
Mailing Address - Country:US
Mailing Address - Phone:414-209-8036
Mailing Address - Fax:414-509-1620
Practice Address - Street 1:W127S9616 SCOTT KRAUSE CT
Practice Address - Street 2:
Practice Address - City:MUSKEGO
Practice Address - State:WI
Practice Address - Zip Code:53150-5313
Practice Address - Country:US
Practice Address - Phone:414-209-8036
Practice Address - Fax:414-509-1620
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2016-12-23
Last Update Date:2016-12-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes253Z00000XAgenciesIn Home Supportive Care