Provider Demographics
NPI:1366422289
Name:NURSING SOUTH CORPORATION
Entity type:Organization
Organization Name:NURSING SOUTH CORPORATION
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:MS
Authorized Official - First Name:ELI
Authorized Official - Middle Name:
Authorized Official - Last Name:GINSBURG
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:305-275-0461
Mailing Address - Street 1:9380 SUNSET DR.
Mailing Address - Street 2:SUITE B222
Mailing Address - City:MIAMI
Mailing Address - State:FL
Mailing Address - Zip Code:33173-5460
Mailing Address - Country:US
Mailing Address - Phone:305-275-0461
Mailing Address - Fax:305-275-0514
Practice Address - Street 1:9380 SUNSET DR.
Practice Address - Street 2:SUITE B222
Practice Address - City:MIAMI
Practice Address - State:FL
Practice Address - Zip Code:33173-5460
Practice Address - Country:US
Practice Address - Phone:305-275-0461
Practice Address - Fax:305-275-0514
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-01-18
Last Update Date:2023-05-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLHHA20809096163WH0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes163WH0200XNursing Service ProvidersRegistered NurseHome HealthGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL650865179OtherMEDICAID BSCI
FL688317600OtherMEDICAID WAIVER
FL650865100Medicaid
FL692548196Medicaid
FL650865198Medicaid