=====================================================
General NPI Number Information
=====================================================
NPI Number | 1467988154
-----------------------------------------------------
Entity Type | Organization
-----------------------------------------------------
Legal Business Name | HEALTH-PRO NURSING SERVICES, INC.
-----------------------------------------------------
=====================================================
Dates
=====================================================
Enumeration Date | 05/02/2017
-----------------------------------------------------
Last Update Date | 05/02/2017
-----------------------------------------------------
=====================================================
Provider Practice Location Address
=====================================================
Address Line | 408 W ARLINGTON BLVD SUITE 101-C
-----------------------------------------------------
City | GREENVILLE
-----------------------------------------------------
State | NC
-----------------------------------------------------
Zip | 27834-5737
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 252-689-6356
-----------------------------------------------------
Fax | 252-364-8938
-----------------------------------------------------
=====================================================
Provider Business Mailing Address
=====================================================
Address Line | 408 W ARLINGTON BLVD SUITE 101-C
-----------------------------------------------------
City | GREENVILLE
-----------------------------------------------------
State | NC
-----------------------------------------------------
Zip | 27834-5737
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 252-689-6356
-----------------------------------------------------
Fax | 252-364-8938
-----------------------------------------------------
=====================================================
Authorized Official
=====================================================
Title or Position | CEO
-----------------------------------------------------
Name | MR. SYLVESTER BAILEY III
-----------------------------------------------------
Credential | MBA
-----------------------------------------------------
Telephone | 252-702-1370
-----------------------------------------------------
=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
Taxonomy Code | 251J00000X
-----------------------------------------------------
Taxonomy Name | Nursing Care Agency
-----------------------------------------------------
License Number |
-----------------------------------------------------
License Number State |
-----------------------------------------------------