Provider Demographics
NPI:1427627751
Name:HEAD2TOE NURSING INC
Entity type:Organization
Organization Name:HEAD2TOE NURSING INC
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:CEO OWNER
Authorized Official - Prefix:
Authorized Official - First Name:FIJI
Authorized Official - Middle Name:
Authorized Official - Last Name:SIMMONS
Authorized Official - Suffix:
Authorized Official - Credentials:NP
Authorized Official - Phone:323-455-7247
Mailing Address - Street 1:905 MAIN ST STE 211
Mailing Address - Street 2:
Mailing Address - City:KLAMATH FALLS
Mailing Address - State:OR
Mailing Address - Zip Code:97601-6066
Mailing Address - Country:US
Mailing Address - Phone:778-224-3238
Mailing Address - Fax:877-244-2815
Practice Address - Street 1:905 MAIN ST STE 211
Practice Address - Street 2:
Practice Address - City:KLAMATH FALLS
Practice Address - State:OR
Practice Address - Zip Code:97601-6066
Practice Address - Country:US
Practice Address - Phone:877-822-4323
Practice Address - Fax:877-244-2835
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-06-21
Last Update Date:2024-12-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily MedicineGroup - Multi-Specialty