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PRIVATE NURSING SERVICE INC. NPI 1073699732


NPI Information

NPI: 1073699732
Provider Name: PRIVATE NURSING SERVICE INC.

Doing Business As: INDEPENDENT NURSES

Classification: In Home Supportive Care - 253Z00000X
Entity Type: Organization
Address:
9713 GRAVOIS RD
ST. LOUIS, MO
ZIP 63123
Phone: (314) 544-2020
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PRIVATE NURSING SERVICE INC. is an in home supportive care in St. Louis, MO. The provider is an In Home Supportive Care Agency provides services in the patient's home with the goal of enabling the patient to remain at home. The services provided may include personal care services such as hands-on assistance with activities of daily living (ADLs), e.g., eating, bathing, dressing, and bladder and bowel requirements; homemaker services and instrumental activities of daily living (IADLs), e.g., taking medications, shopping for groceries, laundry, housekeeping, and companionship; and/or supervision or cuing so that a person can perform tasks themselves. PRIVATE NURSING SERVICE INC. NPI is 1073699732. The provider is registered as an organization entity type.
The provider Is Doing Business As Independent Nurses.

The provider's business location address is:

9713 GRAVOIS RD
ST. LOUIS, MO
ZIP 63123-346
Phone: (314) 544-2020
Fax: (314) 544-2645

The provider's authorized official is Pamela Sue Hicks .
The authorized official title is President and has the following contact phone number (314) 544-2020.

The enumeration date for this NPI number is 10/27/2006 and was last updated on 8/30/2012.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1251E00000XHome HealthMISSOURINo
2251X00000XSupports BrokerageMISSOURINo
3251B00000XCase ManagementMISSOURINo
4253Z00000XIn Home Supportive CareMISSOURIYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
1261896500MEDICAIDMISSOURI

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

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