Active NPI
Avesta Care Medical Staffing, LLC
- Nursing Care Agency
- Montgomery, AL
National Provider Identifier
1447016563
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Nursing Care Agency
- Legal business name
- AVESTA CARE MEDICAL STAFFING, LLC
- Practice address
- 1705 Platt PL
Montgomery, AL 36117-7762 - Phone
- (334) 351-9684
- Fax
- (334) 694-0422
- NPI assigned
- Feb 26, 2024
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Ms. Regina Mitchell
- Title
- Owner
- Phone
- (334) 351-9684
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Licensed Practical Nurse | 164W00000X | |||
| Nursing Care Agency | 251J00000X | Primary | ||
| Health Service Clinic/Center | 261QH0100X |
Addresses
Primary practice location
1705 Platt PL
Montgomery, AL 36117-7762
Mailing address
1705 Platt PL
Montgomery, AL 36117-7762
Phone (334) 351-9684
National Provider Directory
National Provider Directory- Tax ID family
- Avesta Care Medical Staffing LLC
Other organizations with this tax ID 1
Organizations that report the same tax identification number in the National Provider Directory.
-
- Licensed Practical Nurse
- Montgomery, AL
- NPI 1326522004
Locations
1705 Platt Pl
Montgomery, AL 36117
Phone (334) 351-9684
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Licensed Practical Nurse
- Montgomery, AL
- NPI 1164904660
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1708905600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1708905600000",
"number": "1447016563",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1705 PLATT PL",
"city": "MONTGOMERY",
"state": "AL",
"postal_code": "361177762",
"telephone_number": "334-351-9684",
"fax_number": "334-694-0422"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1705 PLATT PL",
"city": "MONTGOMERY",
"state": "AL",
"postal_code": "361177762",
"telephone_number": "334-351-9684",
"fax_number": "334-694-0422"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "AVESTA CARE MEDICAL STAFFING, LLC",
"organizational_subpart": "NO",
"enumeration_date": "2024-02-26",
"last_updated": "2024-02-26",
"certification_date": "2024-02-26",
"status": "A",
"authorized_official_last_name": "MITCHELL",
"authorized_official_first_name": "REGINA",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "334-351-9684",
"authorized_official_name_prefix": "Ms."
},
"taxonomies": [
{
"code": "164W00000X",
"taxonomy_group": "",
"desc": "Licensed Practical Nurse",
"state": null,
"license": null,
"primary": false
},
{
"code": "251J00000X",
"taxonomy_group": "",
"desc": "Nursing Care",
"state": null,
"license": null,
"primary": true
},
{
"code": "261QH0100X",
"taxonomy_group": "",
"desc": "Clinic/Center, Health Service",
"state": null,
"license": null,
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Montgomery, AL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 26, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.