Provider Demographics
NPI:1427213719
Name:NURSES PLUS HEALTHCARE LLC
Entity Type:Organization
Organization Name:NURSES PLUS HEALTHCARE LLC
Other - Org Name:NURSES PLUS
Other - Org Type:Doing Business As
Authorized Official - Title/Position:MEMBER
Authorized Official - Prefix:MR
Authorized Official - First Name:BYRON
Authorized Official - Middle Name:
Authorized Official - Last Name:AUGUSTINE
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:602-285-0535
Mailing Address - Street 1:PO BOX 9576
Mailing Address - Street 2:
Mailing Address - City:PHOENIX
Mailing Address - State:AZ
Mailing Address - Zip Code:85068-9576
Mailing Address - Country:US
Mailing Address - Phone:602-285-0535
Mailing Address - Fax:
Practice Address - Street 1:15600 N BLACK CANYON HWY
Practice Address - Street 2:STE C202
Practice Address - City:PHOENIX
Practice Address - State:AZ
Practice Address - Zip Code:85053-4055
Practice Address - Country:US
Practice Address - Phone:602-285-0535
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-07-25
Last Update Date:2008-08-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251J00000XAgenciesNursing Care
No251E00000XAgenciesHome Health
No251S00000XAgenciesCommunity/Behavioral Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
AZPROV0002282373OtherMERCY CARE PROVIDER ID
AZ347255OtherAHCCCS