Provider Demographics
NPI:1205598364
Name:FERGUSON NURSE CONSULTING LLC
Entity type:Organization
Organization Name:FERGUSON NURSE CONSULTING LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:MRS
Authorized Official - First Name:DAMITA
Authorized Official - Middle Name:
Authorized Official - Last Name:FERGUSON
Authorized Official - Suffix:
Authorized Official - Credentials:RN, LNHA
Authorized Official - Phone:248-739-2290
Mailing Address - Street 1:19713 SORRENTO ST
Mailing Address - Street 2:
Mailing Address - City:DETROIT
Mailing Address - State:MI
Mailing Address - Zip Code:48235-1149
Mailing Address - Country:US
Mailing Address - Phone:248-739-2290
Mailing Address - Fax:
Practice Address - Street 1:19713 SORRENTO ST
Practice Address - Street 2:
Practice Address - City:DETROIT
Practice Address - State:MI
Practice Address - Zip Code:48235-1149
Practice Address - Country:US
Practice Address - Phone:248-739-2290
Practice Address - Fax:248-461-1229
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-10-06
Last Update Date:2021-10-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health
No251G00000XAgenciesHospice Care, Community Based
No314000000XNursing & Custodial Care FacilitiesSkilled Nursing Facility