NPIMap

Organization Active NPI

Precision Healthcare Staffing LLC

  • In Home Supportive Care Agency
  • Brookhaven, MS
National Provider Identifier
1184026668
Registry record updated Dec 11, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
In Home Supportive Care AgencyTaxonomy code 253Z00000X
Legal business name
PRECISION HEALTHCARE STAFFING LLC
Practice address
140 West Court Street
Brookhaven, MS 39601-2431
Phone
(877) 891-4286
NPI assigned
Sep 16, 2014
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 11, 2014

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

Authorized official

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
In Home Supportive Care Agency 253Z00000X Primary

Addresses

Primary practice location

140 West Court Street
Brookhaven, MS 39601-2431

Mailing address

4209 Lakeland Dr # 363
Flowood, MS 39232-9212

Other identifiers 1

IdentifierTypeStateIssuer
09905860MedicaidMS

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

140 W CT St
Brookhaven, MS 39601
Phone (877) 891-4286

NPI Registry JSON

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

{
    "created_epoch": "1410825600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1418256000000",
    "number": "1184026668",
    "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": "140 WEST COURT STREET",
            "city": "BROOKHAVEN",
            "state": "MS",
            "postal_code": "396012431",
            "telephone_number": "877-891-4286"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PRECISION HEALTHCARE STAFFING LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-09-16",
        "last_updated": "2014-12-11",
        "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"
    },
    "taxonomies": [
        {
            "code": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "09905860",
            "state": "MS"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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 Dec 11, 2014; 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.