Pro Phase Healthcare Staffing Agency, LLC

Primary specialty

Nursing Care AgencyTaxonomy code 251J00000X

Legal business name

PRO PHASE HEALTHCARE STAFFING AGENCY, LLC

Practice address

10788 Providence Dr
Frisco, TX 75035-9029

Phone

(469) 222-7637

NPI assigned

Mar 26, 2024

Organization subpart

No

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

Authorized official

Name

Jennifer Collier

Title

Ceo

Phone

(469) 222-7637

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1711411200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1711411200000",
    "number": "1912757279",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6710 VIRGINIA PKWY STE 215-202",
            "city": "MCKINNEY",
            "state": "TX",
            "postal_code": "750715514"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10788 PROVIDENCE DR",
            "city": "FRISCO",
            "state": "TX",
            "postal_code": "750359029",
            "telephone_number": "469-222-7637"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PRO PHASE HEALTHCARE STAFFING AGENCY, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-03-26",
        "last_updated": "2024-03-26",
        "certification_date": "2024-03-26",
        "status": "A",
        "authorized_official_last_name": "COLLIER",
        "authorized_official_first_name": "JENNIFER",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "469-222-7637"
    },
    "taxonomies": [
        {
            "code": "251J00000X",
            "taxonomy_group": "",
            "desc": "Nursing Care",
            "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 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.

Verify at the official NPI Registry.