Healthcare Provider Details

I. General information

NPI: 1578906871
Provider Name (Legal Business Name): NE PASA SITTING SERVICES
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 04/17/2013
Last Update Date: 04/17/2013
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2910 PLANTATION DR W
MOBILE AL
36695-5200
US

IV. Provider business mailing address

2910 PLANTATION DR W
MOBILE AL
36695-5200
US

V. Phone/Fax

Practice location:
  • Phone: 251-545-0201
  • Fax: 251-378-5349
Mailing address:
  • Phone: 251-545-0201
  • Fax: 251-378-5349

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code251J00000X
TaxonomyNursing Care Agency
License Number2013-011459
License Number StateAL
# 2
Primary TaxonomyN
Taxonomy Code253Z00000X
TaxonomyIn Home Supportive Care Agency
License Number2013-011459
License Number StateAL
# 3
Primary TaxonomyN
Taxonomy Code261QH0100X
TaxonomyHealth Service Clinic/Center
License Number2013-011459
License Number StateAL
# 4
Primary TaxonomyN
Taxonomy Code261QR0400X
TaxonomyRehabilitation Clinic/Center
License Number2013-011459
License Number StateAL
# 5
Primary TaxonomyN
Taxonomy Code347C00000X
TaxonomyPrivate Vehicle
License Number2013-011459
License Number StateAL
# 6
Primary TaxonomyY
Taxonomy Code251E00000X
TaxonomyHome Health Agency
License Number2013-011459
License Number StateAL

VIII. Authorized Official

Name: MRS. TIA MARIE JONES-WILLIAMS
Title or Position: OWNER
Credential: RN
Phone: 251-545-0201