MISSION MEDSTAFF LLC NPI 1205163185

NPI Information

NPI: 1205163185
Provider Name: MISSION MEDSTAFF, LLC

Doing Business As: MISSION MEDSTAFF

Classification: Nursing Care - 251J00000X
Entity Type: Organization
Address:
1233 W MOREHEAD ST
CHARLOTTE, NC
ZIP 28208
Phone: (704) 295-0822
Get Directions

MISSION MEDSTAFF, LLC is a nursing care in Charlotte, NC. 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. MISSION MEDSTAFF, LLC NPI is 1205163185. The provider is registered as an organization entity type.
The provider Is Doing Business As Mission Medstaff.

The provider's business location address is:

1233 W MOREHEAD ST
CHARLOTTE, NC
ZIP 28208
Phone: (704) 295-0822
Fax: (866) 971-2126

The provider's authorized official is Matthew Hampton .
The authorized official title is Owner/executive Director and has the following contact phone number (704) 295-0822.

The enumeration date for this NPI number is 11/12/2009 and was last updated on 5/16/2018.

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 Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	251E00000X	Home Health		HC4096	NORTH CAROLINA	No
2	251F00000X	Home Infusion		HC4096	NORTH CAROLINA	No
3	251J00000X	Nursing Care		HC4096	NORTH CAROLINA	Yes
4	3747P1801X	Technician	Personal Care Attendant			No
5	253Z00000X	In Home Supportive Care		HC4096	NORTH CAROLINA	No

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	7100649	MEDICAID	NORTH CAROLINA
2	3 418800	MEDICAID	NORTH CAROLINA
3	HC4096	OTHER	NORTH CAROLINA	DEPARTMENT OF HEALTH AND HUMAN SERVICES/DIVISION OF HEALTH SERVICE REGULATION
4	6602032	MEDICAID	NORTH CAROLINA

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

NPI Synchronization or Removal

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