Provider Demographics
NPI:1548333800
Name:AMERICAN NURSES LLC
Entity type:Organization
Organization Name:AMERICAN NURSES LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:ADMINISTRATOR
Authorized Official - Prefix:MR
Authorized Official - First Name:HARISH
Authorized Official - Middle Name:L
Authorized Official - Last Name:PATEL
Authorized Official - Suffix:
Authorized Official - Credentials:MS
Authorized Official - Phone:727-667-1449
Mailing Address - Street 1:9371 US HIGHWAY 19 N
Mailing Address - Street 2:SUITE A
Mailing Address - City:PINELLAS PARK
Mailing Address - State:FL
Mailing Address - Zip Code:33782-5418
Mailing Address - Country:US
Mailing Address - Phone:727-546-1100
Mailing Address - Fax:727-525-2810
Practice Address - Street 1:9371 US HIGHWAY 19 N
Practice Address - Street 2:SUITE A
Practice Address - City:PINELLAS PARK
Practice Address - State:FL
Practice Address - Zip Code:33782-5418
Practice Address - Country:US
Practice Address - Phone:727-546-1100
Practice Address - Fax:727-525-2810
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-11-16
Last Update Date:2011-11-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FL2999991863251E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL651082500Medicaid
108355Medicare PIN
FL108112Medicare ID - Type UnspecifiedMEDICARE PROVIDER NUMBER