Healthcare Provider Details

I. General information

NPI: 1013580869
Provider Name (Legal Business Name): HUMAN RESOURCE STAFFING LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/20/2021
Last Update Date: 07/22/2021
Certification Date: 07/22/2021
Deactivation Date:
Reactivation Date:

III. Provider practice location address

138 NOVARA TRL
MADISON MS
39110-6812
US

IV. Provider business mailing address

138 NOVARA TRL
MADISON MS
39110-6812
US

V. Phone/Fax

Practice location:
  • Phone: 601-624-1451
  • Fax: 601-605-2528
Mailing address:
  • Phone: 601-624-1451
  • Fax: 601-605-2528

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code163W00000X
TaxonomyRegistered Nurse
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code251B00000X
TaxonomyCase Management Agency
License Number
License Number State
# 3
Primary TaxonomyN
Taxonomy Code251E00000X
TaxonomyHome Health Agency
License Number
License Number State
# 4
Primary TaxonomyN
Taxonomy Code251J00000X
TaxonomyNursing Care Agency
License Number
License Number State
# 5
Primary TaxonomyN
Taxonomy Code251K00000X
TaxonomyPublic Health or Welfare Agency
License Number
License Number State
# 6
Primary TaxonomyN
Taxonomy Code305S00000X
TaxonomyPoint of Service
License Number
License Number State

VIII. Authorized Official

Name: LANCE JONES
Title or Position: MANAGER/OWNER
Credential: RN
Phone: 601-624-1451