Nassau Pest Management Services Inc

Primary specialty

Home Health AgencyTaxonomy code 251E00000X

License

JB5513 Issued in FL

Legal business name

NASSAU PEST MANAGEMENT SERVICES INC

Practice address

97056 Carpenter Ridge CT
Yulee, FL 32097-5053

Phone

(904) 591-1522

Fax

(904) 624-7095

NPI assigned

Aug 2, 2006

Organization subpart

No

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

Authorized official

Name

Mr. John Phillip Prom

Title

President

Phone

(904) 591-1522

Specialties & licenses 2

Addresses

Other identifiers 3

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

{
    "created_epoch": "1154476800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1584921600000",
    "number": "1699782706",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 16475",
            "city": "FERNANDINA BEACH",
            "state": "FL",
            "postal_code": "320353125",
            "telephone_number": "904-591-1522",
            "fax_number": "904-624-7095"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "97056 CARPENTER RIDGE CT",
            "city": "YULEE",
            "state": "FL",
            "postal_code": "320975053",
            "telephone_number": "904-591-1522",
            "fax_number": "904-624-7095"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NASSAU PEST MANAGEMENT SERVICES INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-02",
        "last_updated": "2020-03-23",
        "certification_date": "2020-03-23",
        "status": "A",
        "authorized_official_last_name": "PROM",
        "authorized_official_first_name": "JOHN",
        "authorized_official_middle_name": "PHILLIP",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "904-591-1522",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "171WH0202X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Contractor, Home Modifications",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "FL",
            "license": "JB5513",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "676130503",
            "state": "FL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "676130502",
            "state": "FL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "676130500",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Mohammed Abdul Muquith
• Maryruth Elizabeth Murray
• Alexis Nicole Myers, PT, DPT
• Nassau County Mental Health Alcohol & Drug Abuse Council Inc
• Nassau Crossing Endoscopy Center LLC
• Lindsey Neal, OTR/L
• Marco Negro, NP-C (FNP); ARNP FL
• Abigail Marie Nelson
• Justine Neumann
• Dawn Niehaus

• Home Health Agency in Yulee, FL
• Providers in Yulee, FL by specialty
• Home Health Agency in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 23, 2020; 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.