Healthcare Provider Details

I. General information

NPI: 1932847340
Provider Name (Legal Business Name): 3MS SERVICES LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/25/2022
Last Update Date: 07/25/2022
Certification Date: 07/25/2022
Deactivation Date:
Reactivation Date:

III. Provider practice location address

543 COX RD STE D-7
GASTONIA NC
28054-0607
US

IV. Provider business mailing address

543 COX RD STE D-7
GASTONIA NC
28054-0607
US

V. Phone/Fax

Practice location:
  • Phone: 704-501-7675
  • Fax:
Mailing address:
  • Phone: 704-917-7757
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code251B00000X
TaxonomyCase Management Agency
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code253Z00000X
TaxonomyIn Home Supportive Care Agency
License Number
License Number State
# 3
Primary TaxonomyN
Taxonomy Code385H00000X
TaxonomyRespite Care
License Number
License Number State
# 4
Primary TaxonomyY
Taxonomy Code251S00000X
TaxonomyCommunity/Behavioral Health Agency
License Number
License Number State

VIII. Authorized Official

Name: JONATHAN MARTIN
Title or Position: OWNER
Credential:
Phone: 704-917-7757