Healthcare Provider Details

I. General information

NPI: 1396978649
Provider Name (Legal Business Name): NURSE PRO STAFFING, INC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 09/02/2009
Last Update Date: 08/21/2025
Certification Date: 08/21/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4920 N HENRY BLVD
STOCKBRIDGE GA
30281
US

IV. Provider business mailing address

4920 N HENRY BLVD
STOCKBRIDGE GA
30281-3520
US

V. Phone/Fax

Practice location:
  • Phone: 770-288-3362
  • Fax: 678-519-2914
Mailing address:
  • Phone: 770-288-3362
  • Fax: 678-583-1637

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code251E00000X
TaxonomyHome Health Agency
License Number044-R-0071
License Number StateGA
# 2
Primary TaxonomyN
Taxonomy Code251J00000X
TaxonomyNursing Care Agency
License Number044-R-0071
License Number StateGA
# 3
Primary TaxonomyN
Taxonomy Code253Z00000X
TaxonomyIn Home Supportive Care Agency
License Number044-R-0071
License Number StateGA

VIII. Authorized Official

Name: CHALCIA RAINFORD
Title or Position: OWNER
Credential:
Phone: 770-288-3372