Provider Demographics
NPI:1326274903
Name:NIGHTINGALE STAFFING, INC
Entity Type:Organization
Organization Name:NIGHTINGALE STAFFING, INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MR
Authorized Official - First Name:HAROLD
Authorized Official - Middle Name:C
Authorized Official - Last Name:SIMS
Authorized Official - Suffix:II
Authorized Official - Credentials:
Authorized Official - Phone:912-355-6472
Mailing Address - Street 1:3902 NORTHSIDE DR STE A1
Mailing Address - Street 2:
Mailing Address - City:MACON
Mailing Address - State:GA
Mailing Address - Zip Code:31210-2459
Mailing Address - Country:US
Mailing Address - Phone:800-480-2636
Mailing Address - Fax:
Practice Address - Street 1:9100 WHITE BLUFF RD STE 301
Practice Address - Street 2:
Practice Address - City:SAVANNAH
Practice Address - State:GA
Practice Address - Zip Code:31406-4670
Practice Address - Country:US
Practice Address - Phone:800-920-5161
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2009-06-09
Last Update Date:2009-06-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GA011R0045251E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
GA000407965VMedicaid
GA000407965QMedicaid