Victress Healthcare Staffing Solutions

Primary specialty

Home Health AgencyTaxonomy code 251E00000X

Legal business name

VICTRESS HEALTHCARE STAFFING SOLUTIONS

Practice address

6646 Kato Bay Rd
Ridgeland, SC 29936-7879

Phone

(843) 592-5088

Fax

(843) 781-8890

NPI assigned

Sep 10, 2019

Last updated

Sep 10, 2019By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Ms. Ladawn Mack, RN

Title

Owner

Phone

(843) 592-5088

Specialties & licenses 1

Addresses

Electronic endpoints 1

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

{
    "created_epoch": "1568073600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1568073600000",
    "number": "1194374389",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1094",
            "city": "RIDGELAND",
            "state": "SC",
            "postal_code": "299362618",
            "telephone_number": "843-592-5088",
            "fax_number": "843-781-8890"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6646 KATO BAY RD",
            "city": "RIDGELAND",
            "state": "SC",
            "postal_code": "299367879",
            "telephone_number": "843-592-5088",
            "fax_number": "843-781-8890"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VICTRESS HEALTHCARE STAFFING SOLUTIONS",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-09-10",
        "last_updated": "2019-09-10",
        "status": "A",
        "authorized_official_last_name": "MACK",
        "authorized_official_first_name": "LADAWN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "843-592-5088",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "RN"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "admin@victress-health.com",
            "affiliation": "N",
            "address_1": "6646 Kato Bay Rd",
            "city": "Ridgeland",
            "state": "SC",
            "country_code": "US",
            "postal_code": "299367879",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

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• Home Health Agency in Ridgeland, SC
• Providers in Ridgeland, SC by specialty
• Home Health Agency in South Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 10, 2019; 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.