Basic Information
| Provider Information | |||||||||
| NPI: | 1700826286 | ||||||||
| EntityType: | 2 | ||||||||
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| OrganizationName: | NURSEFINDERS, LLC | ||||||||
| LastName: | |||||||||
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| OtherOrganizationName: | NURSEFINDERS OF SAN BERNARDINO | ||||||||
| OtherOrganizationType: | 3 | ||||||||
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| Mailing Information | |||||||||
| Address1: | 524 E LAMAR BLVD | ||||||||
| Address2: | SUITE 300 | ||||||||
| City: | ARLINGTON | ||||||||
| State: | TX | ||||||||
| PostalCode: | 760113903 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 8174629063 | ||||||||
| FaxNumber: | 8174629143 | ||||||||
| Practice Location | |||||||||
| Address1: | 1832 COMMERCENTER CIR | ||||||||
| Address2: | SUITE B | ||||||||
| City: | SAN BERNARDINO | ||||||||
| State: | CA | ||||||||
| PostalCode: | 924083430 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 9098902286 | ||||||||
| FaxNumber: | 9098902346 | ||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 06/06/2006 | ||||||||
| LastUpdateDate: | 02/24/2011 | ||||||||
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| AuthorizedOfficialLastName: | JACKSON | ||||||||
| AuthorizedOfficialFirstName: | DENISE | ||||||||
| AuthorizedOfficialMiddleName: | L | ||||||||
| AuthorizedOfficialTitleorPosition: | SENIOR VICE PRESIDENT | ||||||||
| AuthorizedOfficialTelephone: | 8588920711 | ||||||||
| IsSoleProprietor: | |||||||||
| IsOrganizationSubpart: | Y | ||||||||
| ParentOrganizationLBN: | AMN HEALTHCARE, INC. | ||||||||
| AuthorizedOfficialNamePrefix: | MS. | ||||||||
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Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 251E00000X | 240000397 | CA | Y | Agencies | Home Health |
ID Information
| ID | Type | State | Issuer | Description | HHA57400H | 05 | CA | MEDICAID |