ELITE STAFFING GROUP FOR SURGICAL NURSES, LLC. (NPI# 1104062355) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1104062355 |
| Entity Type | Organization |
| Organization Name | ELITE STAFFING GROUP FOR SURGICAL NURSES, LLC. |
| Other Organization Name | ELITE STAFFING GROUP HEALTHCARE SYSTEMS, LLC. |
| Practice Address |
500 W Lanier Ave Suite 606a Fayetteville GA 30214-7636 |
| Mailing Address |
8376 Carlington Ln Jonesboro GA 30236-3769 |
| Practice Telephone | 7705731876 |
| Practice Fax Number | 7702521102 |
| Mailing Telephone | 4049364936 |
| Mailing Fax Number | 7702521102 |
| Enumeration Date | 2008-12-17 |
| Last Update Date | 2008-12-17 |
| Authorized Official Name | MS. VANESSA J RAINEY (CO-OWNER) |
| Authorized Official Telephone | 7707831200 |
| Authorized Official Credential | CNP |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 251J00000X | Nursing Care | 132138LGB | GA | Agencies |
| Other Name | Type Code |
|---|---|
| Elite Staffing Group Healthcare Systems, LLC. | Other Name - Individual/Organization |
| Street Address |
500 W LANIER AVE SUITE 606A |
| City | FAYETTEVILLE |
| State | GA |
| Zip Code | 30214-7636 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1396737680 | Torey B Clark | Specialist | 500 W Lanier Ave, Suite 406, Fayetteville, GA 30214-7636 | 2005-08-22 |
| 1306168190 | Human Services Management Group, Inc. | Community/Behavioral Health | 500 W Lanier Ave, Suite 408, Fayetteville, GA 30214-7636 | 2010-02-19 |
| 1376878223 | Ems | Nursing Care | 500 W Lanier Ave, Ste 410, Fayetteville, GA 30214-7636 | 2009-10-10 |
| 1972743946 | Edith Ezeigbo | Durable Medical Equipment & Medical Supplies | 500 W Lanier Ave, Building 200, Suite 202, Fayetteville, GA 30214-7636 | 2009-03-03 |
| 1689810475 | Atlanta South Gynecology and Obstetrics P.C. | Clinic/Center | 500 W Lanier Ave, Ste.405, Fayetteville, GA 30214-7636 | 2008-12-29 |
| 1922288224 | Torey B. Clark, Md PC | Specialist | 500 W Lanier Ave, Suite 406, Fayetteville, GA 30214-7636 | 2007-11-05 |
| 1356533079 | Sedona Counseling, Inc | Counselor | 500 W Lanier Ave, Suite 508, Fayetteville, GA 30214-7636 | 2007-08-16 |
| 1851510051 | Deborah Brehm | Counselor | 500 W Lanier Ave, Suite 913, Fayetteville, GA 30214-7636 | 2007-04-25 |
| 1962629360 | Sutton Orthopaedics & Sports Medicine, P.C. | Durable Medical Equipment & Medical Supplies | 500 W Lanier Ave, Suite 506, Fayetteville, GA 30214-7636 | 2007-04-19 |
| 1205960473 | Harbor Grace Hospice, Inc. | Hospice Care, Community Based | 500 W Lanier Ave, Suite 401, Fayetteville, GA 30214-7636 | 2007-03-16 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1548872468 | Phyllis Kelly Wood | Nurse Practitioner | 217 Banks Rd, Suite 31, Fayetteville, GA 30214 | 2020-08-21 |
| 1073139317 | Tyisha Salter Scott | Counselor | 110 Habersham Drive, Suite 142, Fayetteville, GA 30214 | 2020-06-23 |
| 1194341412 | Camille Franncine Bolton | Physical Therapist | 500 Floy Farr Parkway, Suite 303, Fayetteville, GA 30214 | 2020-06-23 |
| 1205465895 | Gillian Vaughan Heard | Physician Assistant | 1275 Ga-54 #201, Fayetteville, GA 30214 | 2020-04-06 |
| 1881234557 | Peach Fits,inc | Mastectomy Fitter | 285 Glynn Street South, Suites 102 and 104, Fayetteville, GA 30214 | 2020-01-10 |
| 1255981072 | Delta Healthcare Providers | Clinic/Center | 1275 W Lanier Ave, #200, Fayetteville, GA 30214 | 2019-09-13 |
| 1861965592 | Hierarchy for Wellness | Specialist | 805 S Glynn St Bldg 127 142, Fayetteville, GA 30214 | 2019-01-04 |
| 1356810634 | Fayette Dental Group PC | Clinic/Center | 720 W Lanier Ave, Fayetteville, GA 30214 | 2018-11-16 |
| 1891263299 | Mattie Mae Farmer Clark | Specialist/Technologist, Other | Piedmont Fayette Hospital, 1255 Highway 54 West, Fayetteville, GA 30214 | 2018-11-05 |
| 1093293607 | Allyson Holland | Pharmacist | 880 Highway 85 South, Fayetteville, GA 30214 | 2018-08-06 |
| Find all providers in zip 30214 | ||||
| Taxonomy Code | 251J00000X |
| Grouping | Agencies |
| Classification | Nursing Care |
| A Nursing Care Agency is an entity that provides skilled nursing care through the services of a Registered Nurse (RN) or a Licensed Practical Nurse (LPN), by employees, contracted individuals, or via a registry, in a variety of settings. The agency may engage in providing private duty nursing and/or staffing services. |
| Notes: Source: National Uniform Claim Committee, 2008 [7/1/2008: modified definition] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1861988420 | Sunvera Home Care LLC | Nursing Care | 240 Youngs Cir, Fayetteville, GA 30215-2765 | 2018-07-07 |
| 1720431141 | Lifestyle Enrichment Home Care Agency | Nursing Care | 2529 Raeford Rd Ste C6, Fayetteville, NC 28305-5098 | 2016-07-20 |
| 1568706661 | Connections To Care, LLC | Nursing Care | 105 Habersham Dr, Suite C, Fayetteville, GA 30214-7341 | 2012-11-15 |
| 1578841029 | Olive Garden Healthcare Serv. LLC | Nursing Care | 90 Commerce Dr Ste A, Fayetteville, GA 30214-7519 | 2011-08-02 |
| 1861787731 | Jeanette Pulsifer | Nursing Care | 134 Clark Rd, Fayetteville, GA 30215-5520 | 2011-06-17 |
| 1427284769 | Truecare Enterprise Inc | Nursing Care | 6127 Lochview Dr, Fayetteville, NC 28311-2911 | 2009-06-01 |
| 1710134770 | Bright Heart Healthcare Staffing | Nursing Care | 2504 Rareford Rd, Fayetteville, NC 28305 | 2008-08-21 |
| 1780880450 | A Brighter Future Healthcare Services | Nursing Care | 4140 Ferncreek Dr Ste 300, Fayetteville, NC 28314-2566 | 2007-06-21 |
| 1154456325 | Liberty Nursing Services, LLC | Nursing Care | 2175 Village Dr, Fayetteville, NC 28304-2531 | 2007-02-21 |
| 1437227626 | Heart To Heart Home Care Agency, Inc. | Nursing Care | 2904 Fort Bragg Rd, Fayetteville, NC 28303-4725 | 2006-12-04 |
| Find all providers in FAYETTEVILLE | ||||
| City | FAYETTEVILLE |
| Zip Code | 30214 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.