Provider Demographics
NPI:1568118537
Name:PRO NURSING STAFFING AGENCY LLC
Entity Type:Organization
Organization Name:PRO NURSING STAFFING AGENCY LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MRS
Authorized Official - First Name:KYARA
Authorized Official - Middle Name:
Authorized Official - Last Name:HOLMES-FLINT
Authorized Official - Suffix:
Authorized Official - Credentials:RN
Authorized Official - Phone:866-212-3377
Mailing Address - Street 1:17250 W 12 MILE RD STE 118
Mailing Address - Street 2:
Mailing Address - City:SOUTHFIELD
Mailing Address - State:MI
Mailing Address - Zip Code:48076-2110
Mailing Address - Country:US
Mailing Address - Phone:866-212-3377
Mailing Address - Fax:586-203-2771
Practice Address - Street 1:17250 W 12 MILE RD STE 118
Practice Address - Street 2:
Practice Address - City:SOUTHFIELD
Practice Address - State:MI
Practice Address - Zip Code:48076-2110
Practice Address - Country:US
Practice Address - Phone:866-212-3377
Practice Address - Fax:586-203-2771
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-02-28
Last Update Date:2022-02-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes163WH0200XNursing Service ProvidersRegistered NurseHome HealthGroup - Multi-Specialty
No177F00000XOther Service ProvidersLodging
No251B00000XAgenciesCase Management
No251E00000XAgenciesHome Health
No251J00000XAgenciesNursing Care
No253Z00000XAgenciesIn Home Supportive CareGroup - Multi-Specialty