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Contact Information

PRIVATE NURSING SERVICE INC.
9713 GRAVOIS RD
SAINT LOUIS, MO63123-4346
 Phone: 314-544-2020
 Fax: 314-544-2645
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

In Home Supportive Care

253Z00000X
 

Case Management

251B00000X
 

Home Health

251E00000X A4[11] Home Health Agency
 

Supports Brokerage

251X00000X
Indicates primary specialty

NPI Profile & details for PRIVATE NURSING SERVICE INC.

NPI # 1073699732
LBN Legal business name PRIVATE NURSING SERVICE INC.
Authorized official PAMELA HICKS - (PRESIDENT)
Entity Organization
Organization subpart 1 No
Enumeration date 10/27/2006
Last updated 08/30/2012 - About 14 years ago
Identifiers
MO Medicaid 261896500
1 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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