PEDICARE STAFFING AGENCY, LLC (NPI# 1114449501) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1114449501 |
| Entity Type | Organization |
| Organization Name | PEDICARE STAFFING AGENCY, LLC |
| Practice Address |
18052 Midway Rd Terry MS 39170-8343 |
| Mailing Address |
Po Box 124 Brandon MS 39043-0124 |
| Practice Telephone | 6012142673 |
| Enumeration Date | 2017-07-07 |
| Last Update Date | 2017-07-07 |
| Authorized Official Name | MRS. MELISSA EASLEY FLANAGIN (OWNER) |
| Authorized Official Telephone | 6012142673 |
| Authorized Official Credential | NNP-BC |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 251J00000X | Nursing Care | Agencies |
| Street Address |
18052 MIDWAY RD |
| City | TERRY |
| State | MS |
| Zip Code | 39170-8343 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1043851595 | Barbara Sharp | Technician | 2260 Greengable Rd, Terry, MS 39170 | 2019-10-07 |
| 1356904171 | Hope Healthcare Agency, LLC | In Home Supportive Care | 13252 I-55 South Frontage Road, Terry, MS 39170 | 2019-04-17 |
| 1093120602 | Fideltyhealthcare | Home Health | 127 Garett Drive, Terry, MS 39170 | 2014-06-23 |
| 1104258912 | Freds Stores of Tennessee Inc | Pharmacy | 422 W. Cunningham Ave, Terry, MS 39170 | 2013-08-02 |
| 1083795561 | Terry Discount Drugs | Durable Medical Equipment & Medical Supplies | 128 Cunningham St, Terry, MS 39170 | 2006-10-18 |
| 1164537197 | Terry Discount Drugs | Pharmacy | 128 Cunningham Ave, Terry, MS 39170-0037 | 2006-08-20 |
| 1063629376 | Terry Family Medical Clinic | Nurse Practitioner | 120 W Raymond Street, Terry, MS 39170-0970 | 2007-05-17 |
| 1477650869 | Gloria O Areghan | Nurse Practitioner | 120 W. Raymond Street, Terry, MS 39170-0970 | 2006-09-20 |
| 1720488968 | Kristi Richards | Physical Therapy Assistant | 316 Lakeover Pl, Terry, MS 39170-4407 | 2014-08-25 |
| 1467797001 | Whitney William Healthcare, LLC | Internal Medicine | 1290 Caroline Dr, Terry, MS 39170-5000 | 2012-12-08 |
| Find all providers in zip 39170 | ||||
| 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 |
|---|---|---|---|---|
| 1043811631 | Collins Home Care LLC | Nursing Care | 209 Commerce Dr Ste D, Brandon, MS 39042-2756 | 2020-11-02 |
| 1760081301 | Magnolia Healthcare Solutions, LLC | Nursing Care | 402 Greenfield Ridge Cir, Brandon, MS 39042-7025 | 2020-10-24 |
| 1659981181 | Anchoring Hearts Healthcare LLC | Nursing Care | 730 Ridgewood Rd Ste A, Ridgeland, MS 39157-4434 | 2020-08-10 |
| 1588282941 | Anchoring Hearts Healthcare | Nursing Care | 308 Belvedere Dr, Pearl, MS 39208-8916 | 2020-07-11 |
| 1912539149 | Tih Services LLC | Nursing Care | 1246 Beverly Hills Rd Apt 207, Hattiesburg, MS 39401-4464 | 2020-02-05 |
| 1629608831 | Collins Home Care LLC | Nursing Care | 305 Turny Cv, Brandon, MS 39042-7007 | 2020-01-16 |
| 1417424391 | Optimal Wellness 365 LLC | Nursing Care | 4375 Highway 51 N Apt 25-201, Horn Lake, MS 38637-8720 | 2018-10-29 |
| 1679040729 | Karis Staffing Agency | Nursing Care | 2068 Smyrna Rd, Hazlehurst, MS 39083-9049 | 2018-10-26 |
| 1568938447 | Trusting Loyal Caring Tlc Homemakers Service | Nursing Care | 59 Noblin Road, Cleveland, MS 38732-9571 | 2018-10-18 |
| 1700378965 | Southern Medical Solutions | Nursing Care | 186 Burris Rd Se, Mc Call Creek, MS 39647-5295 | 2018-06-04 |
| Find all providers with the same taxonomy | ||||
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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.