Organization Active NPI

Johnson Staffing Agency LLC

  • Nursing Care Agency
  • Greenwood, MS
National Provider Identifier
1821786757
Registry record updated Apr 27, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nursing Care AgencyTaxonomy code 251J00000X
Legal business name
JOHNSON STAFFING AGENCY LLC
Practice address
522 W Park Ave Ste U
Greenwood, MS 38930-2950
Phone
(662) 299-1275
Fax
(662) 214-6152
NPI assigned
Apr 27, 2023
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 27, 2023

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

Authorized official

Name
Ms. Domonique Leshae Johnson, LPN
Title
Ceo
Phone
(662) 299-1275

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Nursing Care Agency 251J00000X Primary
In Home Supportive Care Agency 253Z00000X
Respite Care 385H00000X

Addresses

Primary practice location

522 W Park Ave Ste U
Greenwood, MS 38930-2950

Mailing address

522 W Park Ave Ste U
Greenwood, MS 38930-2950
Phone (662) 299-1275

Other names 1

  • Nurses Care Staffing Doing business as

National Provider Directory

National Provider Directory

Locations

522 W Park Ave
Ste U
Greenwood, MS 38930
Phone (662) 299-1275

NPI Registry JSON

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

{
    "created_epoch": "1682553600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1682553600000",
    "number": "1821786757",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "522 W PARK AVE STE U",
            "city": "GREENWOOD",
            "state": "MS",
            "postal_code": "389302950",
            "telephone_number": "662-299-1275",
            "fax_number": "662-214-6152"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "522 W PARK AVE STE U",
            "city": "GREENWOOD",
            "state": "MS",
            "postal_code": "389302950",
            "telephone_number": "662-299-1275",
            "fax_number": "662-214-6152"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JOHNSON STAFFING AGENCY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-04-27",
        "last_updated": "2023-04-27",
        "certification_date": "2023-04-27",
        "status": "A",
        "authorized_official_last_name": "JOHNSON",
        "authorized_official_first_name": "DOMONIQUE",
        "authorized_official_middle_name": "LESHAE",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "662-299-1275",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "LPN"
    },
    "taxonomies": [
        {
            "code": "251J00000X",
            "taxonomy_group": "",
            "desc": "Nursing Care",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive Care",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "385H00000X",
            "taxonomy_group": "",
            "desc": "Respite Care",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Nurses Care Staffing",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Greenwood, MS

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 27, 2023; 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.