PROFESSIONAL NURSING AND SUPPORT SERVICES LLC NPI 1134409519

NPI Information

  • NPI: 1134409519
  • Provider Name: PROFESSIONAL NURSING AND SUPPORT SERVICES LLC
  • Classification: In Home Supportive Care - 253Z00000X
  • Entity Type: Organization
  • Former Legal Business Name: NONE
  • Address: 7626 ENOCH LAKE CIR
    LAKE PARK, GA
    ZIP 31636
  • Phone: (229) 559-4607

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NPI Details

PROFESSIONAL NURSING AND SUPPORT SERVICES LLC is an in home supportive care in Lake Park, GA. The provider is an In Home Supportive Care Agency provides services in the patient's home with the goal of enabling the patient to remain at home. The services provided may include personal care services such as hands-on assistance with activities of daily living (ADLs), e.g., eating, bathing, dressing, and bladder and bowel requirements; homemaker services and instrumental activities of daily living (IADLs), e.g., taking medications, shopping for groceries, laundry, housekeeping, and companionship; and/or supervision or cuing so that a person can perform tasks themselves. PROFESSIONAL NURSING AND SUPPORT SERVICES LLC NPI is 1134409519. The provider is registered as an organization entity type.
The provider Former Legal Business Name Is None.

The provider's business location address is:

7626 ENOCH LAKE CIR
LAKE PARK, GA
ZIP 31636-906
Phone: (229) 559-4607

The provider's authorized official is Lashanda L Williams .
The authorized official title is Administrator and has the following contact phone number (229) 559-4607.

The enumeration date for this NPI number is 8/17/2011 and was last updated on 8/17/2011.

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
1251J00000XNursing CareRN210699GEORGIANo
2253Z00000XIn Home Supportive Care092-R-0897GEORGIAYes

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: 11/21/2025

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