Provider Demographics
NPI:1023469533
Name:NURSING HOMES SERVICES, LLC
Entity type:Organization
Organization Name:NURSING HOMES SERVICES, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:NURSE PRACTITIONER
Authorized Official - Prefix:MS
Authorized Official - First Name:DAMARIS
Authorized Official - Middle Name:
Authorized Official - Last Name:MCCLAIN
Authorized Official - Suffix:
Authorized Official - Credentials:FNP
Authorized Official - Phone:704-231-0367
Mailing Address - Street 1:2808 BRIAR CIR
Mailing Address - Street 2:
Mailing Address - City:ROCK HILL
Mailing Address - State:SC
Mailing Address - Zip Code:29732-9454
Mailing Address - Country:US
Mailing Address - Phone:704-231-0367
Mailing Address - Fax:844-750-0692
Practice Address - Street 1:2808 BRIAR CIR
Practice Address - Street 2:
Practice Address - City:ROCK HILL
Practice Address - State:SC
Practice Address - Zip Code:29732-9454
Practice Address - Country:US
Practice Address - Phone:704-231-0367
Practice Address - Fax:844-750-0692
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2016-06-27
Last Update Date:2016-06-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
SC4289363L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes363L00000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
SC1699007625OtherNPI