Organization Active NPI

Impeccable Prehire Agency, LLC

  • Health Service Clinic/Center
  • Hattiesburg, MS
National Provider Identifier
1053090696
Registry record updated Jul 14, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Health Service Clinic/CenterTaxonomy code 261QH0100X
Legal business name
IMPECCABLE PREHIRE AGENCY, LLC
Practice address
4010 Oferral St Ste 209
Hattiesburg, MS 39402-1613
Phone
(877) 881-8792
Fax
(205) 723-0488
NPI assigned
Jul 12, 2023
Last updated
Jul 14, 2023By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 14, 2023

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

Authorized official

Name
Shametrice Barnett
Title
Ceo
Phone
(334) 798-9943

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Health Service Clinic/Center 261QH0100X NU Primary

Addresses

Primary practice location

4010 Oferral St Ste 209
Hattiesburg, MS 39402-1613

Mailing address

14 Copperfield Dr
Hattiesburg, MS 39402-1881

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address Info@Impeccableprehireagency.com Direct

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1689120000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1689292800000",
    "number": "1053090696",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14 COPPERFIELD DR",
            "city": "HATTIESBURG",
            "state": "MS",
            "postal_code": "394021881"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4010 OFERRAL ST STE 209",
            "city": "HATTIESBURG",
            "state": "MS",
            "postal_code": "394021613",
            "telephone_number": "877-881-8792",
            "fax_number": "205-723-0488"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "IMPECCABLE PREHIRE AGENCY, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-07-12",
        "last_updated": "2023-07-14",
        "certification_date": "2023-07-14",
        "status": "A",
        "authorized_official_last_name": "BARNETT",
        "authorized_official_first_name": "SHAMETRICE",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "334-798-9943"
    },
    "taxonomies": [
        {
            "code": "261QH0100X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Health Service",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "Info@Impeccableprehireagency.com",
            "affiliation": "N",
            "endpointDescription": "Company Email",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "4010 Oferral St Ste 209",
            "city": "Hattiesburg",
            "state": "MS",
            "country_code": "US",
            "postal_code": "394021613",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Hattiesburg, MS

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 14, 2023; 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.