Provider Demographics
NPI:1487783494
Name:NURSING SYSTEMATIX, INC.
Entity type:Organization
Organization Name:NURSING SYSTEMATIX, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:MR
Authorized Official - First Name:DAVID
Authorized Official - Middle Name:A
Authorized Official - Last Name:SHEVETZ
Authorized Official - Suffix:
Authorized Official - Credentials:RN
Authorized Official - Phone:330-261-2817
Mailing Address - Street 1:822 YOUNGSTOWN POLAND RD
Mailing Address - Street 2:
Mailing Address - City:STRUTHERS
Mailing Address - State:OH
Mailing Address - Zip Code:44471-1368
Mailing Address - Country:US
Mailing Address - Phone:330-755-2788
Mailing Address - Fax:330-755-1746
Practice Address - Street 1:822 YOUNGSTOWN POLAND RD
Practice Address - Street 2:
Practice Address - City:STRUTHERS
Practice Address - State:OH
Practice Address - Zip Code:44471-1368
Practice Address - Country:US
Practice Address - Phone:330-755-2788
Practice Address - Fax:330-755-1746
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-03-05
Last Update Date:2007-10-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH251E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
OH2684377Medicaid
OH2536198Medicaid