Provider Demographics
NPI:1831857119
Name:NURSETEL LLC
Entity type:Organization
Organization Name:NURSETEL LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:ADMINISTRATOR
Authorized Official - Prefix:
Authorized Official - First Name:SHELIA
Authorized Official - Middle Name:A
Authorized Official - Last Name:WHITE
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:850-252-4312
Mailing Address - Street 1:6380 U S HIGHWAY 98 STE 2
Mailing Address - Street 2:
Mailing Address - City:HATTIESBURG
Mailing Address - State:MS
Mailing Address - Zip Code:39402-8532
Mailing Address - Country:US
Mailing Address - Phone:601-210-1101
Mailing Address - Fax:601-510-9556
Practice Address - Street 1:6380 U S HIGHWAY 98 STE 2
Practice Address - Street 2:
Practice Address - City:HATTIESBURG
Practice Address - State:MS
Practice Address - Zip Code:39402-8532
Practice Address - Country:US
Practice Address - Phone:601-210-1101
Practice Address - Fax:601-510-9556
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:NURSETEL
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2021-12-03
Last Update Date:2023-04-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes251E00000XAgenciesHome Health
No251G00000XAgenciesHospice Care, Community Based
No251J00000XAgenciesNursing Care
No253Z00000XAgenciesIn Home Supportive Care
No261QA0600XAmbulatory Health Care FacilitiesClinic/CenterAdult Day Care
No261QD0000XAmbulatory Health Care FacilitiesClinic/CenterDental
No261QP1100XAmbulatory Health Care FacilitiesClinic/CenterPodiatric
No311ZA0620XNursing & Custodial Care FacilitiesCustodial Care FacilityAdult Care Home
No314000000XNursing & Custodial Care FacilitiesSkilled Nursing FacilityGroup - Multi-Specialty
No3140N1450XNursing & Custodial Care FacilitiesSkilled Nursing FacilityNursing Care, Pediatric
No332B00000XSuppliersDurable Medical Equipment & Medical Supplies
No374U00000XNursing Service Related ProvidersHome Health AideGroup - Multi-Specialty
No385H00000XRespite Care FacilityRespite CareGroup - Multi-Specialty