Pedicare Staffing Agency, LLC

Primary specialty

Nursing Care AgencyTaxonomy code 251J00000X

Legal business name

PEDICARE STAFFING AGENCY, LLC

Practice address

18052 Midway Rd
Terry, MS 39170-8343

Phone

(601) 214-2673

NPI assigned

Jul 7, 2017

Organization subpart

No

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

Authorized official

Name

Mrs. Melissa Easley Flanagin, NNP-BC

Title

Owner

Phone

(601) 214-2673

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1499385600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1499385600000",
    "number": "1114449501",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 124",
            "city": "BRANDON",
            "state": "MS",
            "postal_code": "390430124"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "18052 MIDWAY RD",
            "city": "TERRY",
            "state": "MS",
            "postal_code": "391708343",
            "telephone_number": "601-214-2673"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PEDICARE STAFFING AGENCY, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-07-07",
        "last_updated": "2017-07-07",
        "status": "A",
        "authorized_official_last_name": "FLANAGIN",
        "authorized_official_first_name": "MELISSA",
        "authorized_official_middle_name": "EASLEY",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "601-214-2673",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "NNP-BC"
    },
    "taxonomies": [
        {
            "code": "251J00000X",
            "taxonomy_group": "",
            "desc": "Nursing Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 7, 2017; 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.