Provider Demographics
NPI:1194863266
Name:COMMERCIAL SERVICES ENTERPRISE,INC D/B/A AMERICAN NURSES
Entity Type:Organization
Organization Name:COMMERCIAL SERVICES ENTERPRISE,INC D/B/A AMERICAN NURSES
Other - Org Name:AMERICAN NURSES
Other - Org Type:Doing Business As
Authorized Official - Title/Position:ADM
Authorized Official - Prefix:
Authorized Official - First Name:JEAN
Authorized Official - Middle Name:
Authorized Official - Last Name:VENORD
Authorized Official - Suffix:
Authorized Official - Credentials:BS,MA,MBA
Authorized Official - Phone:407-898-3969
Mailing Address - Street 1:1510 E COLONIAL DR
Mailing Address - Street 2:SUITE 300
Mailing Address - City:ORLANDO
Mailing Address - State:FL
Mailing Address - Zip Code:32803-4739
Mailing Address - Country:US
Mailing Address - Phone:407-898-3969
Mailing Address - Fax:407-898-2944
Practice Address - Street 1:1510 E COLONIAL DR
Practice Address - Street 2:SUITE 300
Practice Address - City:ORLANDO
Practice Address - State:FL
Practice Address - Zip Code:32803-4739
Practice Address - Country:US
Practice Address - Phone:407-898-3969
Practice Address - Fax:407-898-2944
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-02-02
Last Update Date:2008-06-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FL593583890251E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL651071000Medicaid
FL108258Medicare ID - Type UnspecifiedMEDICARE PROVIDER #
FL651071000Medicaid