Provider Demographics
NPI:1063635050
Name:NURSING MANAGEMENT, INC.
Entity Type:Organization
Organization Name:NURSING MANAGEMENT, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT/DIRECTOR OF NURSING
Authorized Official - Prefix:MR
Authorized Official - First Name:JOEL
Authorized Official - Middle Name:CRAIG
Authorized Official - Last Name:CAVALIER
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:228-385-9196
Mailing Address - Street 1:PO BOX 6489
Mailing Address - Street 2:925 TOMMY MUNRO DR. STE E
Mailing Address - City:BILOXI
Mailing Address - State:MS
Mailing Address - Zip Code:39532
Mailing Address - Country:US
Mailing Address - Phone:228-385-9196
Mailing Address - Fax:228-594-0215
Practice Address - Street 1:925 TOMMY MUNRO DR. STE E
Practice Address - Street 2:
Practice Address - City:BILOXI
Practice Address - State:MS
Practice Address - Zip Code:39532
Practice Address - Country:US
Practice Address - Phone:228-385-9196
Practice Address - Fax:228-594-0215
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-04-10
Last Update Date:2019-11-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MSR641286251J00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251J00000XAgenciesNursing Care
Provider Identifiers
StateIdentifier IDID TypeIssuer
MS00118625Medicaid
MS00770159Medicaid
MS64-0788437Medicaid
MS00770160Medicaid
MS00770460Medicaid
MS00770200Medicaid