Provider Demographics
NPI:1710053400
Name:THE NURSES GUILD, INC
Entity Type:Organization
Organization Name:THE NURSES GUILD, INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT DIRECTOR OF NURSING
Authorized Official - Prefix:MR
Authorized Official - First Name:KEVIN
Authorized Official - Middle Name:R
Authorized Official - Last Name:PHILLIPS
Authorized Official - Suffix:
Authorized Official - Credentials:RN
Authorized Official - Phone:954-596-9806
Mailing Address - Street 1:2261 NE 36TH STREET
Mailing Address - Street 2:SUITE 1
Mailing Address - City:LIGHTHOUSE POINT
Mailing Address - State:FL
Mailing Address - Zip Code:33441-6645
Mailing Address - Country:US
Mailing Address - Phone:954-596-9806
Mailing Address - Fax:954-596-9810
Practice Address - Street 1:2261 NE 36TH ST
Practice Address - Street 2:SUITE 1
Practice Address - City:LIGHTHOUSE POINT
Practice Address - State:FL
Practice Address - Zip Code:33064-7588
Practice Address - Country:US
Practice Address - Phone:954-596-9806
Practice Address - Fax:954-596-9810
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-11-27
Last Update Date:2008-12-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FL299992037251E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
FLHHA299992037OtherSTATE LICENSE
FLHHA299992037OtherSTATE LICENSE