PLC Professional Staffing Solutions, LLC

Primary specialty

Nursing Care AgencyTaxonomy code 251J00000X

License

R863014 Issued in MS

Legal business name

PLC PROFESSIONAL STAFFING SOLUTIONS, LLC

Practice address

306 Washington Ave
Greenville, MS 38701-3614

Phone

(662) 335-5554

Fax

(662) 335-5580

NPI assigned

Aug 11, 2006

Organization subpart

No

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

Authorized official

Name

Mrs. Pandora Redmond, REGISTERED NURSE

Title

Executive Administrator

Phone

(662) 335-5554

Specialties & licenses 1

Addresses

Other identifiers 3

Other names 1

• PLC Professional Licensed Care, llp Former legal business name

Locations

Practitioners 1

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

• Pandora Redmond-Wills, RN

  • Adult Day Care Clinic/Center
  • Greenville, MS
  • NPI 1760049829
  NPD (past)

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

{
    "created_epoch": "1155254400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1364428800000",
    "number": "1962413997",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 4580",
            "city": "GREENVILLE",
            "state": "MS",
            "postal_code": "387044580",
            "telephone_number": "662-335-5554",
            "fax_number": "662-335-5554"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "306 WASHINGTON AVE",
            "city": "GREENVILLE",
            "state": "MS",
            "postal_code": "387013614",
            "telephone_number": "662-335-5554",
            "fax_number": "662-335-5580"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PLC PROFESSIONAL STAFFING SOLUTIONS, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-11",
        "last_updated": "2013-03-28",
        "status": "A",
        "authorized_official_last_name": "REDMOND",
        "authorized_official_first_name": "PANDORA",
        "authorized_official_title_or_position": "EXECUTIVE ADMINISTRATOR",
        "authorized_official_telephone_number": "662-335-5554",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "REGISTERED NURSE"
    },
    "taxonomies": [
        {
            "code": "251J00000X",
            "taxonomy_group": "",
            "desc": "Nursing Care",
            "state": "MS",
            "license": "R863014",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "08679792",
            "state": "MS"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "06908787",
            "state": "MS"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "07331397",
            "state": "MS"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "PLC Professional Licensed Care, llp",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

• Ashanti Selece Phillips, RN
• Cleveland Woodrow Phinisee Jr.
• Christopher B Pieroni, R. PH.
• Donna Brasier Pinion, CFNP
• Coursey Pitts, AUD
• Poe Chiropractic, LLC
• Willie Andrew Pole Jr., LCSW
• Port City Adult Daycare
• Port City Personal Care Services LLC
• John M Portera, DPM

• Nursing Care Agency in Greenville, MS
• Providers in Greenville, MS by specialty
• Nursing Care Agency in Mississippi

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 28, 2013; 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.