Provider Demographics
NPI:1982914586
Name:INDEPENDENT NURSING SERVICE-NEW, INC.
Entity type:Organization
Organization Name:INDEPENDENT NURSING SERVICE-NEW, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:MRS
Authorized Official - First Name:LAURA
Authorized Official - Middle Name:JEAN
Authorized Official - Last Name:YEAGER
Authorized Official - Suffix:
Authorized Official - Credentials:RN
Authorized Official - Phone:817-595-3291
Mailing Address - Street 1:7166 BAKER BLVD
Mailing Address - Street 2:STE. B
Mailing Address - City:RICHLAND HILLS
Mailing Address - State:TX
Mailing Address - Zip Code:76118-5801
Mailing Address - Country:US
Mailing Address - Phone:817-595-3291
Mailing Address - Fax:817-595-7680
Practice Address - Street 1:7166 BAKER BLVD
Practice Address - Street 2:STE. B
Practice Address - City:RICHLAND HILLS
Practice Address - State:TX
Practice Address - Zip Code:76118-5801
Practice Address - Country:US
Practice Address - Phone:817-595-3291
Practice Address - Fax:817-595-7680
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2010-10-15
Last Update Date:2010-10-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX013574251E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health