1619149986 NPI number — 211 GROUP INC

Table of content: (NPI 1619149986)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1619149986 NPI number — 211 GROUP INC

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
211 GROUP 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:
NURSE MATCH STAFFING SOLUTIONS
Provider Other Organization Name Type Code:
3
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:
1619149986
Entity Type Code:
Organization
Replacement NPI:
Last Update Date:
04/02/2009
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
21901 HARPER AVE
Provider Second Line Business Mailing Address:
Provider Business Mailing Address City Name:
SAINT CLAIR SHORES
Provider Business Mailing Address State Name:
MI
Provider Business Mailing Address Postal Code:
48080-2217
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
586-473-6188
Provider Business Mailing Address Fax Number:
586-473-6199

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
21901 HARPER AVE
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
SAINT CLAIR SHORES
Provider Business Practice Location Address State Name:
MI
Provider Business Practice Location Address Postal Code:
48080-2217
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
586-473-6188
Provider Business Practice Location Address Fax Number:
586-473-6199
Provider Enumeration Date:
03/27/2008

Additional Information

Authorized Official

Authorized Official Last Name:
OKON
Authorized Official First Name:
SWADIE
Authorized Official Middle Name:
Authorized Official Title or Position:
CFO
Authorized Official Telephone Number:
586-473-6188

Provider Taxonomy Codes

  • Taxonomy code: 251J00000X , registered in the state of MI ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .
  • Taxonomy code: 253Z00000X ; information, associated with the NPI states the following Primary Taxonomy Switch: "N" .

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





Copyright © 2007-2024 www.npivalidator.com