Professional Nursing and Support Services LLC

Primary specialty

Home Health AgencyTaxonomy code 251E00000X

License

092-R-0897 Issued in GA

Legal business name

PROFESSIONAL NURSING AND SUPPORT SERVICES LLC

Practice address

7626 Enoch Lake Cir
Lake Park, GA 31636-3906

Phone

(229) 375-4635

NPI assigned

Aug 29, 2012

Last updated

Aug 29, 2012By 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. Lashanda Leatrice Williams, RN

Title

Administrator/Owner

Phone

(229) 375-4635

Specialties & licenses 1

Addresses

Tax ID family

Professional Nursing and Support Services LLC2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

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

• Professional Nursing and Support Services LLC

  • In Home Supportive Care Agency
  • Lake Park, GA
  • NPI 1134409519
  NPD tax ID

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

{
    "created_epoch": "1346198400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1346198400000",
    "number": "1336497981",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7626 ENOCH LAKE CIRCLE",
            "city": "LAKE PARK",
            "state": "GA",
            "postal_code": "31636",
            "telephone_number": "229-375-4635"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7626 ENOCH LAKE CIR",
            "city": "LAKE PARK",
            "state": "GA",
            "postal_code": "316363906",
            "telephone_number": "229-375-4635"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PROFESSIONAL NURSING AND SUPPORT SERVICES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-08-29",
        "last_updated": "2012-08-29",
        "status": "A",
        "authorized_official_last_name": "WILLIAMS",
        "authorized_official_first_name": "LASHANDA",
        "authorized_official_middle_name": "LEATRICE",
        "authorized_official_title_or_position": "ADMINISTRATOR/OWNER",
        "authorized_official_telephone_number": "229-375-4635",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "RN"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "GA",
            "license": "092-R-0897",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Michael Hugh Parker, M.D.
• Lauren Pearce
• Dorothy B Price, RPH
• Elizabeth W Prince, PT
• Professional Nursing and Support Services LLC
• Lester James Rentz Jr., D.M.D.
• Tyrone Wedell Robinson
• Shanna Nicole Rozier, PHARMD
• South Georgia Radiology Consultants, PC
• South Health District (Lowndes Co Board of Health - Lake Park Clinic)

• Home Health Agency in Lake Park, GA
• Providers in Lake Park, 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 Aug 29, 2012; 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.