Provider Demographics
NPI:1689032724
Name:BEST CARE NURSING LLC
Entity Type:Organization
Organization Name:BEST CARE NURSING LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:FOUNDER
Authorized Official - Prefix:MISS
Authorized Official - First Name:VALENCIA
Authorized Official - Middle Name:LARENZIA
Authorized Official - Last Name:VAUGHN
Authorized Official - Suffix:
Authorized Official - Credentials:CEO
Authorized Official - Phone:601-397-0736
Mailing Address - Street 1:2315 MCFADDEN RD APT 1504
Mailing Address - Street 2:
Mailing Address - City:JACKSON
Mailing Address - State:MS
Mailing Address - Zip Code:39204-5281
Mailing Address - Country:US
Mailing Address - Phone:601-213-8441
Mailing Address - Fax:
Practice Address - Street 1:2315 MCFADDEN RD APT 1504
Practice Address - Street 2:
Practice Address - City:JACKSON
Practice Address - State:MS
Practice Address - Zip Code:39204-5281
Practice Address - Country:US
Practice Address - Phone:601-397-0736
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2016-02-03
Last Update Date:2016-02-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MSA0060372251E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health