Provider Demographics
NPI:1871359968
Name:CONCIERGE NURSING REFERRAL SERVICES LLC
Entity type:Organization
Organization Name:CONCIERGE NURSING REFERRAL SERVICES LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:COMPLIANCE ASSOCIATE
Authorized Official - Prefix:
Authorized Official - First Name:SEAN
Authorized Official - Middle Name:
Authorized Official - Last Name:CYGAN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:858-257-3077
Mailing Address - Street 1:7777 FAY AVE STE 210
Mailing Address - Street 2:
Mailing Address - City:LA JOLLA
Mailing Address - State:CA
Mailing Address - Zip Code:92037-4325
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:75150 SHERYL AVE STE E
Practice Address - Street 2:
Practice Address - City:PALM DESERT
Practice Address - State:CA
Practice Address - Zip Code:92211-5118
Practice Address - Country:US
Practice Address - Phone:760-610-5580
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-02-26
Last Update Date:2024-02-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251J00000XAgenciesNursing Care