Provider Demographics
NPI:1578198677
Name:HOME CARE NURSE SOLUTIONS
Entity Type:Organization
Organization Name:HOME CARE NURSE SOLUTIONS
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MR
Authorized Official - First Name:JAMES
Authorized Official - Middle Name:D
Authorized Official - Last Name:NELSON
Authorized Official - Suffix:II
Authorized Official - Credentials:RN
Authorized Official - Phone:320-296-2212
Mailing Address - Street 1:1902 FAIRMOUNT AVE
Mailing Address - Street 2:
Mailing Address - City:SAINT PAUL
Mailing Address - State:MN
Mailing Address - Zip Code:55105-1538
Mailing Address - Country:US
Mailing Address - Phone:320-296-2212
Mailing Address - Fax:
Practice Address - Street 1:1902 FAIRMOUNT AVE
Practice Address - Street 2:
Practice Address - City:SAINT PAUL
Practice Address - State:MN
Practice Address - Zip Code:55105-1538
Practice Address - Country:US
Practice Address - Phone:320-296-2212
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-03-09
Last Update Date:2020-03-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes163WH0200XNursing Service ProvidersRegistered NurseHome HealthGroup - Single Specialty