Provider Demographics
NPI:1336804053
Name:NURSE MENTORS HOME CARE INC
Entity Type:Organization
Organization Name:NURSE MENTORS HOME CARE INC
Other - Org Name:NURSE MENTORS HOME HEALTH
Other - Org Type:Doing Business As
Authorized Official - Title/Position:DIRECTOR
Authorized Official - Prefix:DR
Authorized Official - First Name:GERDA
Authorized Official - Middle Name:
Authorized Official - Last Name:WILLIAMS
Authorized Official - Suffix:
Authorized Official - Credentials:DNP
Authorized Official - Phone:954-328-3191
Mailing Address - Street 1:6151 MIRAMAR PKWY STE 306
Mailing Address - Street 2:
Mailing Address - City:MIRAMAR
Mailing Address - State:FL
Mailing Address - Zip Code:33023-3985
Mailing Address - Country:US
Mailing Address - Phone:954-328-3191
Mailing Address - Fax:954-965-3564
Practice Address - Street 1:6151 MIRAMAR PKWY STE 306
Practice Address - Street 2:
Practice Address - City:MIRAMAR
Practice Address - State:FL
Practice Address - Zip Code:33023-3985
Practice Address - Country:US
Practice Address - Phone:954-328-3191
Practice Address - Fax:954-965-3564
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-11-08
Last Update Date:2024-05-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health