Accommodate Medical Staffing, LLC

Primary specialty

In Home Supportive Care AgencyTaxonomy code 253Z00000X

Legal business name

ACCOMMODATE MEDICAL STAFFING, LLC

Practice address

830 Mulberry St Ste 105
Macon, GA 31201-0604

Phone

(404) 984-6212

NPI assigned

Nov 10, 2021

Organization subpart

No

Locations

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Shandrea Wilder, RN

Title

Owner

Phone

(147) 831-8684

Specialties & licenses 4

Addresses

Other names 1

• Accommodate Medical Staffing, LLC Other name

The complete record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1636502400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1729641600000",
    "number": "1043976558",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "830 MULBERRY ST STE 105",
            "city": "MACON",
            "state": "GA",
            "postal_code": "312010604",
            "telephone_number": "404-984-6212"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "830 MULBERRY ST STE 105",
            "city": "MACON",
            "state": "GA",
            "postal_code": "312010604",
            "telephone_number": "404-984-6212"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ACCOMMODATE MEDICAL STAFFING, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-11-10",
        "last_updated": "2024-10-23",
        "certification_date": "2024-10-23",
        "status": "A",
        "authorized_official_last_name": "WILDER",
        "authorized_official_first_name": "SHANDREA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "147-831-8684",
        "authorized_official_credential": "RN"
    },
    "taxonomies": [
        {
            "code": "251C00000X",
            "taxonomy_group": "",
            "desc": "Day Training, Developmentally Disabled Services",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive Care",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "320900000X",
            "taxonomy_group": "",
            "desc": "Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Accommodate Medical Staffing, LLC",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

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• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 23, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.