1134419369 NPI number — ALL STAFF SOLUTIONS, INC.

Table of content: (NPI 1134419369)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1134419369 NPI number — ALL STAFF SOLUTIONS, INC.

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
ALL STAFF SOLUTIONS, INC.
Provider Last Name:
Provider First Name:
Provider Middle Name:
Provider Name Prefix Text:
Provider Name Suffix Text:
Provider Credential Text:
Provider Gender Code:

Provider's Other Name Information

Provider Other Organization Name:
Provider Other Organization Name Type Code:
Provider Other Last Name:
Provider Other First Name:
Provider Other Middle Name:
Provider Other Name Prefix Text:
Provider Other Name Suffix Text:
Provider Other Credential Text:
Provider Other Last Name Type Code:

NPI Number Information

NPI Number:
1134419369
Entity Type Code:
Organization
Replacement NPI:
Last Update Date:
09/25/2014
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
140 PRESTON EXECUTIVE DR
Provider Second Line Business Mailing Address:
SUITE 100H
Provider Business Mailing Address City Name:
CARY
Provider Business Mailing Address State Name:
NC
Provider Business Mailing Address Postal Code:
27513-8488
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
919-337-1615
Provider Business Mailing Address Fax Number:
888-234-2028

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
140 PRESTON EXECUTIVE DR
Provider Second Line Business Practice Location Address:
SUITE 100H
Provider Business Practice Location Address City Name:
CARY
Provider Business Practice Location Address State Name:
NC
Provider Business Practice Location Address Postal Code:
27513-8488
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
919-337-1615
Provider Business Practice Location Address Fax Number:
888-234-2028
Provider Enumeration Date:
04/08/2011

Additional Information

Authorized Official

Authorized Official Last Name:
BRADLEY-KELLEY
Authorized Official First Name:
VANESSA
Authorized Official Middle Name:
A.
Authorized Official Title or Position:
CEO/CVO
Authorized Official Telephone Number:
919-337-1615

Provider Taxonomy Codes

  • Taxonomy code: 251B00000X ; information, associated with the NPI states the following Primary Taxonomy Switch: "N" .
  • Taxonomy code: 251E00000X ; information, associated with the NPI states the following Primary Taxonomy Switch: "N" .
  • Taxonomy code: 251F00000X ; information, associated with the NPI states the following Primary Taxonomy Switch: "N" .
  • Taxonomy code: 251G00000X ; information, associated with the NPI states the following Primary Taxonomy Switch: "N" .
  • Taxonomy code: 251J00000X ; information, associated with the NPI states the following Primary Taxonomy Switch: "N" .
  • Taxonomy code: 253Z00000X ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .
  • Taxonomy code: 332B00000X ; information, associated with the NPI states the following Primary Taxonomy Switch: "N" .

Other Provider's Identifiers (legacy, non-NPI)

  • Identifier: 4088 . This is a "CITY LICENSE," identifier , issued by the state of ( NC ) . This identifiers is of the category "OTHER".
  • Identifier: HC4420 . This is a "DHHS" identifier , issued by the state of ( NC ) . This identifiers is of the category "OTHER".
  • Identifier: NP4390 . This is a "DHHS STATE OF NC" identifier , issued by the state of ( NC ) . This identifiers is of the category "OTHER".




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