Provider Demographics
NPI:1487991055
Name:NURSES HOME HEALTH AND STAFFING
Entity type:Organization
Organization Name:NURSES HOME HEALTH AND STAFFING
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:ADMIN
Authorized Official - Prefix:MISS
Authorized Official - First Name:MARILYNN
Authorized Official - Middle Name:
Authorized Official - Last Name:TYRRELL-LOPEZ
Authorized Official - Suffix:
Authorized Official - Credentials:RN
Authorized Official - Phone:630-244-2080
Mailing Address - Street 1:24130 WALNUT CIR
Mailing Address - Street 2:
Mailing Address - City:PLAINFIELD
Mailing Address - State:IL
Mailing Address - Zip Code:60585-2474
Mailing Address - Country:US
Mailing Address - Phone:630-244-2080
Mailing Address - Fax:
Practice Address - Street 1:24130 WALNUT CIR
Practice Address - Street 2:
Practice Address - City:PLAINFIELD
Practice Address - State:IL
Practice Address - Zip Code:60585-2474
Practice Address - Country:US
Practice Address - Phone:630-244-2080
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2013-01-15
Last Update Date:2013-01-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health