Amayesing Healthcare Nursing Agency

Primary specialty

Registered NurseTaxonomy code 163W00000X

Legal business name

AMAYESING HEALTHCARE NURSING AGENCY

Practice address

911 Clint Smith Dr
Duncanville, TX 75137-2912

Phone

(601) 259-4314

NPI assigned

Mar 2, 2017

Organization subpart

No

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

Authorized official

Name

Robert Mayes Sr.

Title

Ceo/Owner

Phone

(601) 259-4314

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1488412800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1488412800000",
    "number": "1639619182",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "911 CLINT SMITH DR",
            "city": "DUNCANVILLE",
            "state": "TX",
            "postal_code": "751372912"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "911 CLINT SMITH DR",
            "city": "DUNCANVILLE",
            "state": "TX",
            "postal_code": "751372912",
            "telephone_number": "601-259-4314"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AMAYESING HEALTHCARE NURSING AGENCY",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-03-02",
        "last_updated": "2017-03-02",
        "status": "A",
        "authorized_official_last_name": "MAYES",
        "authorized_official_first_name": "ROBERT",
        "authorized_official_title_or_position": "CEO/OWNER",
        "authorized_official_telephone_number": "601-259-4314",
        "authorized_official_name_suffix": "Sr."
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Registered Nurse",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 2, 2017; 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.