Provider Demographics
NPI:1396739421
Name:AMERICAN NURSING MANAGEMENT & CONSULTING, INC
Entity type:Organization
Organization Name:AMERICAN NURSING MANAGEMENT & CONSULTING, INC
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:ADMINISTRATOR
Authorized Official - Prefix:MR
Authorized Official - First Name:RAJ
Authorized Official - Middle Name:N
Authorized Official - Last Name:CONTRACTOR
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:213-572-0600
Mailing Address - Street 1:2105 BEVERLY BLVD STE 205
Mailing Address - Street 2:
Mailing Address - City:LOS ANGELES
Mailing Address - State:CA
Mailing Address - Zip Code:90057-2268
Mailing Address - Country:US
Mailing Address - Phone:714-403-5211
Mailing Address - Fax:213-572-0605
Practice Address - Street 1:2105 BEVERLY BLVD STE 205
Practice Address - Street 2:
Practice Address - City:LOS ANGELES
Practice Address - State:CA
Practice Address - Zip Code:90057-2268
Practice Address - Country:US
Practice Address - Phone:213-572-0600
Practice Address - Fax:213-572-0605
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2005-09-04
Last Update Date:2021-10-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
332BX2000X, 332B00000X, 332BC3200X, 332BN1400X, 332BP3500X
CA980000939251E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health
No332BX2000XSuppliersDurable Medical Equipment & Medical SuppliesOxygen Equipment & Supplies
No332B00000XSuppliersDurable Medical Equipment & Medical Supplies
No332BC3200XSuppliersDurable Medical Equipment & Medical SuppliesCustomized Equipment
No332BN1400XSuppliersDurable Medical Equipment & Medical SuppliesNursing Facility Supplies
No332BP3500XSuppliersDurable Medical Equipment & Medical SuppliesParenteral & Enteral Nutrition
Provider Identifiers
StateIdentifier IDID TypeIssuer
CA113132OtherHOME MEDICAL DEVICE & RENTAL