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CUSTOM CARE CONSULTANTS LLC NPI 1053811257


NPI Information

NPI: 1053811257
Provider Name: CUSTOM CARE CONSULTANTS, LLC
Classification: Nursing Care - 251J00000X
Entity Type: Organization
Address:
1403 VAN BUREN AVE
OXFORD, MS
ZIP 38655
Phone: (601) 813-9535
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CUSTOM CARE CONSULTANTS, LLC is a nursing care in Oxford, MS. The provider is 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. CUSTOM CARE CONSULTANTS, LLC NPI is 1053811257. The provider is registered as an organization entity type.

The provider's business location address is:

1403 VAN BUREN AVE
OXFORD, MS
ZIP 38655-091
Phone: (601) 813-9535

The provider's authorized official is Ellis Winton Mcinnis .
The authorized official title is President and has the following contact phone number (601) 813-9535.

The enumeration date for this NPI number is 2/15/2018 and was last updated on 2/15/2018.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1251J00000XNursing Care1066035MISSISSIPPIYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

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