Provider Demographics
NPI:1457664351
Name:NIGHTINGALE PRIVATE CARE
Entity Type:Organization
Organization Name:NIGHTINGALE PRIVATE CARE
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:FINANCIAL COORDINATOR
Authorized Official - Prefix:MR
Authorized Official - First Name:ROBERT
Authorized Official - Middle Name:SHAWN
Authorized Official - Last Name:SALSMAN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:772-245-8390
Mailing Address - Street 1:8130 SE FEDERAL HWY
Mailing Address - Street 2:
Mailing Address - City:HOBE SOUND
Mailing Address - State:FL
Mailing Address - Zip Code:33455-6085
Mailing Address - Country:US
Mailing Address - Phone:772-245-8390
Mailing Address - Fax:772-600-8474
Practice Address - Street 1:8130 SE FEDERAL HWY
Practice Address - Street 2:
Practice Address - City:HOBE SOUND
Practice Address - State:FL
Practice Address - Zip Code:33455-6085
Practice Address - Country:US
Practice Address - Phone:772-245-8390
Practice Address - Fax:772-245-8401
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2010-07-20
Last Update Date:2011-09-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FL299993574251E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health