OrganizationActive
Professional Nursing and Support Services LLC
NPI 1336497981 · Home Health Agency · Lake Park, GA
Provider details
- NPI number
- 1336497981
- Entity type
- Organization
- Primary specialty
- Home Health AgencyAgencies
- Organization subpart
- No
- Authorized official
- Lashanda Williams, Administrator/Owner(229) 375-4635
- License
- 092-R-0897 (GA)
Specialties & taxonomies
Agencies
Profile Score
Detailed profile(79/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
13 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
7626 Enoch Lake Cir
Lake Park, GA 31636-3906
Phone: (229) 375-4635
Street-level locationGet directions
Mailing address
7626 Enoch Lake Circle
Lake Park, GA 31636
Registry dates
- Enumerated
- 2012-08-29
- Last updated
- 2012-08-29
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.