Tucker Nurse Staffing LLC

Primary specialty

Licensed Practical NurseTaxonomy code 164W00000X

Legal business name

TUCKER NURSE STAFFING LLC

Practice address

1424 Sedona LN
MC Leansville, NC 27301-9801

Phone

(336) 265-2765

NPI assigned

Sep 14, 2021

Organization subpart

No

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

Authorized official

Name

Angela Chanel HartNPI 1316229891

Title

Owner

Phone

(336) 265-1276

Specialties & licenses 3

Addresses

Electronic endpoints 2

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Angela Chanel Hart

  • Licensed Practical Nurse
  • Warners, NY
  • NPI 1316229891
  NPD Authorized official

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

{
    "created_epoch": "1631577600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1631577600000",
    "number": "1588334338",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5711 MCLEANSVILLE RD UNIT 548",
            "city": "MC LEANSVILLE",
            "state": "NC",
            "postal_code": "273010257",
            "telephone_number": "336-265-2765"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1424 SEDONA LN",
            "city": "MC LEANSVILLE",
            "state": "NC",
            "postal_code": "273019801",
            "telephone_number": "336-265-2765"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TUCKER NURSE STAFFING LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-09-14",
        "last_updated": "2021-09-14",
        "certification_date": "2021-09-14",
        "status": "A",
        "authorized_official_last_name": "HART",
        "authorized_official_first_name": "ANGELA",
        "authorized_official_middle_name": "CHANEL",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "336-265-1276"
    },
    "taxonomies": [
        {
            "code": "164W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Licensed Practical Nurse",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "251J00000X",
            "taxonomy_group": "",
            "desc": "Nursing Care",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "3140N1450X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility, Nursing Care, Pediatric",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "TuckerNurseStaffing.com",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "1424 Sedona Ln",
            "city": "Mc Leansville",
            "state": "NC",
            "country_code": "US",
            "postal_code": "273019801",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "TuckerNurseStaffing.com",
            "affiliation": "N",
            "address_1": "5711 McLeansville Rd Unit 548",
            "city": "Mc Leansville",
            "state": "NC",
            "country_code": "US",
            "postal_code": "273010257",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Tarheelbluetransportation LLC
• The Moses H Cone Memorial Hospital Operating Corporation
• The Turning Pointe Healthcare Services, LLC
• TLC Support & Habitation
• True Connection Therapy
• Raquel Devonna Turnbull X
• United Living, LLC
• Unlimited Supports & Consulting Agency LLC
• Ivory Nicole Williams
• Lakedra Williams

• Licensed Practical Nurse in MC Leansville, NC
• Providers in MC Leansville, NC by specialty
• Licensed Practical Nurse in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 14, 2021; 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.