Provider Demographics
NPI:1619602653
Name:NIGHTINGALE SERVICES
Entity Type:Organization
Organization Name:NIGHTINGALE SERVICES
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER/ DIRECTOR OF NURSING
Authorized Official - Prefix:
Authorized Official - First Name:DOMINIQUE
Authorized Official - Middle Name:
Authorized Official - Last Name:LOISEAU
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:732-723-7995
Mailing Address - Street 1:497 LAUREL AVE
Mailing Address - Street 2:
Mailing Address - City:BRICK
Mailing Address - State:NJ
Mailing Address - Zip Code:08723-5316
Mailing Address - Country:US
Mailing Address - Phone:732-865-6481
Mailing Address - Fax:732-561-5312
Practice Address - Street 1:497 LAUREL AVE
Practice Address - Street 2:
Practice Address - City:BRICK
Practice Address - State:NJ
Practice Address - Zip Code:08723-5316
Practice Address - Country:US
Practice Address - Phone:732-723-7995
Practice Address - Fax:732-561-5312
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-07-22
Last Update Date:2022-09-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes251F00000XAgenciesHome InfusionGroup - Single Specialty
No163W00000XNursing Service ProvidersRegistered NurseGroup - Single Specialty
No251B00000XAgenciesCase Management
No253Z00000XAgenciesIn Home Supportive Care