Provider Demographics
NPI:1558061994
Name:RN DISABILITY & CONSULTING SERVICES, LLC
Entity Type:Organization
Organization Name:RN DISABILITY & CONSULTING SERVICES, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MANAGER
Authorized Official - Prefix:MS
Authorized Official - First Name:TA'SHARA
Authorized Official - Middle Name:T
Authorized Official - Last Name:WHITEHEAD
Authorized Official - Suffix:
Authorized Official - Credentials:RN
Authorized Official - Phone:904-990-4774
Mailing Address - Street 1:PO BOX 56721
Mailing Address - Street 2:
Mailing Address - City:JACKSONVILLE
Mailing Address - State:FL
Mailing Address - Zip Code:32241-6721
Mailing Address - Country:US
Mailing Address - Phone:904-990-4774
Mailing Address - Fax:
Practice Address - Street 1:4411 SUNBEAM RD # 56721
Practice Address - Street 2:
Practice Address - City:JACKSONVILLE
Practice Address - State:FL
Practice Address - Zip Code:32257-7525
Practice Address - Country:US
Practice Address - Phone:904-990-4774
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-03-06
Last Update Date:2023-03-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251J00000XAgenciesNursing Care
No253Z00000XAgenciesIn Home Supportive Care