Provider Demographics
NPI:1619499423
Name:SAIPAN VISITING NURSES
Entity Type:Organization
Organization Name:SAIPAN VISITING NURSES
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OPERATION MANAGER
Authorized Official - Prefix:
Authorized Official - First Name:JUMICO
Authorized Official - Middle Name:ROMERO
Authorized Official - Last Name:CHUA
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:670-233-0240
Mailing Address - Street 1:PO BOX 505232
Mailing Address - Street 2:
Mailing Address - City:SAIPAN
Mailing Address - State:MP
Mailing Address - Zip Code:96950-4316
Mailing Address - Country:US
Mailing Address - Phone:1670-233-0240
Mailing Address - Fax:670-233-0241
Practice Address - Street 1:UNIT 101 MANGO CITY BLDG MIDDLE RD. GARAPAN, SAIPAN
Practice Address - Street 2:
Practice Address - City:SAIPAN
Practice Address - State:MP
Practice Address - Zip Code:96950
Practice Address - Country:US
Practice Address - Phone:670-233-0240
Practice Address - Fax:670-233-0241
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:JOSEPH LESCANO - MEDQUEST MEDICAL SUPPLY
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2017-07-13
Last Update Date:2017-07-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MP21207-0005251E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health