NIGHTINGALE SERVICES, INC.

Provider Demographics

• NPI: 1558372623
• Name: NIGHTINGALE SERVICES, INC.
• Entity Type: Organization
• Organization Name: NIGHTINGALE SERVICES, INC.
• Other - Org Name: NIGHTINGALE SERVICES, INC.
• Other - Org Type: Former Legal Business Name
• Authorized Official - Title/Position: CHIEF OPERATING OFFICER
• Authorized Official - First Name: NATHAN
• Authorized Official - Last Name: TEMPELMAN
• Authorized Official - Phone: 646-498-2231
• Mailing Address - Street 1: 9100 WHITE BLUFF RD
• Mailing Address - Street 2: STE 301
• Mailing Address - City: SAVANNAH
• Mailing Address - State: GA
• Mailing Address - Zip Code: 31406-4670
• Mailing Address - Country: US
• Mailing Address - Phone: 912-355-6472
• Mailing Address - Fax: 912-691-4716
• Practice Address - Street 1: 9100 WHITE BLUFF RD
• Practice Address - Street 2: STE 301
• Practice Address - City: SAVANNAH
• Practice Address - State: GA
• Practice Address - Zip Code: 31406
• Practice Address - Country: US
• Practice Address - Phone: 912-355-6472
• Practice Address - Fax: 912-691-4716
• EIN: <UNAVAIL>
• Is Organization Subpart?: No
• Enumeration Date: 2006-08-11
• Last Update Date: 2024-07-11

Provider Licenses

State	License ID	Taxonomies
GA	025R0022	251E00000X
GA	121R0416	251E00000X
GA	029R0016	251E00000X
GA	011R0045	251E00000X
GA	016R0006	251E00000X
GA	034R0005	251E00000X
GA	008R0396	251E00000X
GA	083R0538	251E00000X
GA	047R0656	251E00000X
GA	020-R-0898	251E00000X
GA	093-R-0970	251E00000X
GA	106-R-1104	251E00000X
		251E00000X

Provider Taxonomies

Primary?	Code	Type	Classification	Specialization
Yes	251E00000X	Agencies	Home Health

Provider Identifiers

State	Identifier ID	ID Type	Issuer
GA	000407965AA	Medicaid
GA	000407965O	Medicaid
GA	000407965Y	Medicaid
GA	000407965T	Medicaid
GA	000407965AB	Medicaid
GA	000407965P	Medicaid
GA	000407965V	Medicaid
GA	000407965AE	Medicaid
GA	000407965AF	Medicaid
GA	000407965R	Medicaid
GA	000407965S	Medicaid
GA	000407965B	Medicaid
GA	000407965W	Medicaid
GA	000407965X	Medicaid
GA	00407965F	Medicaid
GA	000407965AI	Medicaid
GA	000407965I	Medicaid
GA	000407965N	Medicaid
GA	00407965H	Medicaid
GA	000407965AC	Medicaid
GA	000407965AG	Medicaid
GA	000407965AH	Medicaid
GA	000407965C	Medicaid
GA	000407965Q	Medicaid
GA	000407965U	Medicaid
FL	68-3145	Medicare PIN