Mib Staffing, LLC

Primary specialty

Home Health AgencyTaxonomy code 251E00000X

Legal business name

MIB STAFFING, LLC

Practice address

2020 Avalon Pkwy Ste 340
McDonough, GA 30253-3054

Phone

(703) 870-4214

NPI assigned

Apr 11, 2023

Organization subpart

No

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

Authorized official

Name

Mr. Harold McGann

Title

Administrator

Phone

(703) 870-4214

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1681171200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1681171200000",
    "number": "1174219463",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2020 AVALON PKWY STE 340",
            "city": "MCDONOUGH",
            "state": "GA",
            "postal_code": "302533054",
            "telephone_number": "703-870-4214"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2020 AVALON PKWY STE 340",
            "city": "MCDONOUGH",
            "state": "GA",
            "postal_code": "302533054",
            "telephone_number": "703-870-4214"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MIB STAFFING, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-04-11",
        "last_updated": "2023-04-11",
        "certification_date": "2023-04-02",
        "status": "A",
        "authorized_official_last_name": "MCGANN",
        "authorized_official_first_name": "HAROLD",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "703-870-4214",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jorge Roberto Menjivar, NP-C
• Riddhi Salim Merchant, MD
• Mercy Health Management
• Metnurse Health Services, Inc. (MHS)
• MH Wellness Collective LLC
• Michael R. Johnston, D.C., P.C.
• Michelle Klos D.C. Inc. (Southside Spinal Center)
• Dionne Gibson Middlebrooks, PT, DPT
• Cocquese Mikell, NURSE/LPN
• Milann Health Care Services Inc

• Home Health Agency in McDonough, GA
• Providers in McDonough, GA by specialty
• Home Health Agency in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 11, 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.