Provider Demographics
NPI:1932850229
Name:PROFICIENT HEALTHCARE STAFFING LLC
Entity Type:Organization
Organization Name:PROFICIENT HEALTHCARE STAFFING LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:
Authorized Official - First Name:LATOSHA
Authorized Official - Middle Name:
Authorized Official - Last Name:MCNAIR
Authorized Official - Suffix:
Authorized Official - Credentials:RN
Authorized Official - Phone:855-593-7823
Mailing Address - Street 1:409 BALD CYPRESS CV
Mailing Address - Street 2:
Mailing Address - City:TERRY
Mailing Address - State:MS
Mailing Address - Zip Code:39170-6002
Mailing Address - Country:US
Mailing Address - Phone:855-593-7823
Mailing Address - Fax:
Practice Address - Street 1:409 BALD CYPRESS CV
Practice Address - Street 2:
Practice Address - City:TERRY
Practice Address - State:MS
Practice Address - Zip Code:39170-6002
Practice Address - Country:US
Practice Address - Phone:855-593-7823
Practice Address - Fax:601-586-5693
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-01-18
Last Update Date:2022-01-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes251J00000XAgenciesNursing Care
No163WC1500XNursing Service ProvidersRegistered NurseCommunity HealthGroup - Multi-Specialty
No171M00000XOther Service ProvidersCase Manager/Care CoordinatorGroup - Multi-Specialty
No251B00000XAgenciesCase Management
No291U00000XLaboratoriesClinical Medical Laboratory