Provider Type Icon

MISSION MEDSTAFF LLC NPI 1922462126


NPI Information

NPI: 1922462126
Provider Name: MISSION MEDSTAFF, LLC

Doing Business As: MISSION MEDSTAFF

Classification: Nursing Care - 251J00000X
Entity Type: Organization
Address:
3816 BLAND RD
RALEIGH, NC
ZIP 27609
Phone: (919) 400-4099
Get Directions

MISSION MEDSTAFF, LLC is a nursing care in Raleigh, 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 1922462126. The provider is registered as an organization entity type.
The provider Is Doing Business As Mission Medstaff.

The provider's business location address is:

3816 BLAND RD
RALEIGH, NC
ZIP 27609-239
Phone: (919) 400-4099

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

The enumeration date for this NPI number is 4/13/2016 and was last updated on 12/10/2018.


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
1251E00000XHome HealthNo
2251J00000XNursing CareHC3352NORTH CAROLINAYes

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 IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
17100649MEDICAIDNORTH CAROLINA
26602032MEDICAIDNORTH CAROLINA
33418800MEDICAIDNORTH 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

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.