NPIMap

Organization Active NPI

Precision Healthcare Staffing LLC

  • Homemaker
  • Brookhaven, MS
National Provider Identifier
1164835468
Registry record updated Jan 7, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
HomemakerTaxonomy code 376J00000X
Legal business name
PRECISION HEALTHCARE STAFFING LLC
Doing business as
Precision Healthcare Staffing llc
Practice address
104 W Court St
Brookhaven, MS 39601-3018
Phone
(601) 265-2232
NPI assigned
Jun 4, 2014
Last updated
Jan 7, 2016By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 7, 2016

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

Authorized official

Name
Ms. Shonda Lyons
Title
Owner
Phone
(877) 891-4286

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Nursing Care Agency 251J00000X
In Home Supportive Care Agency 253Z00000X
HomemakerGroup: 193200000X MULTI-SPECIALTY GROUP 376J00000X Primary

Addresses

Primary practice location

104 W Court St
Brookhaven, MS 39601-3018

Mailing address

4209 Lakeland Dr # 363
Flowood, MS 39232-9212

Other identifiers 1

IdentifierTypeStateIssuer
09905860MedicaidMS

Other names 1

  • Precision Healthcare Staffing llc Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Precision Healthcare Staffing LLC5 organizations share this tax ID, including this one

Other organizations with this tax ID 4

Organizations that report the same tax identification number in the National Provider Directory.

Locations

104 W Court St
Brookhaven, MS 39601
Phone (601) 265-2232

NPI Registry JSON

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

{
    "created_epoch": "1401840000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1452124800000",
    "number": "1164835468",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4209 LAKELAND DR # 363",
            "city": "FLOWOOD",
            "state": "MS",
            "postal_code": "392329212"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "104 W COURT ST",
            "city": "BROOKHAVEN",
            "state": "MS",
            "postal_code": "396013018",
            "telephone_number": "601-265-2232"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PRECISION HEALTHCARE STAFFING LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-06-04",
        "last_updated": "2016-01-07",
        "status": "A",
        "authorized_official_last_name": "LYONS",
        "authorized_official_first_name": "SHONDA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "877-891-4286",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "251J00000X",
            "taxonomy_group": "",
            "desc": "Nursing Care",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive Care",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "376J00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Homemaker",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "09905860",
            "state": "MS"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Precision Healthcare Staffing llc",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Brookhaven, MS

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 7, 2016; 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.