Mission Medstaff, Llc, NPI 1205163185
Nursing Care Agency in Charlotte, NC, US
NPI number: what is it?
The NPI, or National Provider Identifier, is a non-repeatable number for health care providers. The NPI always consists of 10 digits and is used for administrative and financial procedures. The NPI wa...
| NPI | 1205163185 |
| NPI Entity Type | Organization |
| Provider Name |
Mission Medstaff, Llc
Doing Business As |
| Enumeration Date | September 30, 2009 |
| Last Update Date | September 30, 2009 |
| Provider Location Address | 1233 W Morehead St, Charlotte, NC, US |
| Provider Mailing Address | 1233 W Morehead St, Charlotte, NC, US, 282085213 |
| Is Sole Proprietor? | No |
Organization Official
| Official Name | MR. Matthew Hampton |
| Official Position | OWNER/EXECUTIVE DIRECTOR |
| Phone | 704-295-0822 |
Group Taxonomy
| Taxonomy Code | 193200000X |
| Taxonomy Name | 193200000X MULTI-SPECIALTY GROUP |
| Definition | A business group of one or more individual practitioners, who practice with different areas of specialization. |
Primary Taxonomy
| Taxonomy Code | |
| Taxonomy Name | Nursing Care Agency |
| Classification | |
| Group | |
| License No. | HC4096 |
| License State | NC |
| Description | 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. |
Secondary Taxonomies
| Taxonomy Code | Group | Classification | License No. | State | Primary? |
|---|---|---|---|---|---|
| HC4096 | NC | No | |||
| HC4096 | NC | No | |||
| HC4096 | NC | No | |||
| No |
Other Identifiers
| Identifier | Identifier State | Identifier Issuer | Type/Code |
|---|---|---|---|
| 6602032 | NC | MEDICAID | 05 |
| 7100649 | NC | MEDICAID | 05 |
| HC4096 | NC | DEPARTMENT OF HEALTH AND HUMAN SERVICES/DIVISION OF HEALTH SERVICE REGULATION | 01 |
| 3 418800 | NC | MEDICAID | 05 |
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|---|---|---|---|
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LCMHC, LCAS, NCC Jessica Beckman Individual |
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ATC Anthony Farmer Sutton Individual |
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Alea Marie Thomas Individual |
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DO Evelyn Elizabeth Murray Individual |
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MR. LCAS, LCSW Michael Anthony Brown Individual |
100 Eastowne Dr |
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MSW Erika Paulyne Branch Individual |
2231 E Millbrook Rd Ste 101 |
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MOT, OTR/L Georgia Brooke Thigpen Individual |
160 N Nc 241 Hwy |
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Connie J Albritton Individual |
2375 Vineyard Dr Apt H6 |
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M.ED. Byron Turner Individual |
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PT Leslie Michelle Murray Mullins Individual |
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