1285704940 NPI number — CAS STAFFING INC

Table of Contents

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1285704940 NPI number — CAS STAFFING INC

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
CAS STAFFING 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:
1285704940
Entity Type Code:
Organization
Replacement NPI:
Last Update Date:
08/22/2020
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
114 WEST MAPLE TREE DRIVE
Provider Second Line Business Mailing Address:
Provider Business Mailing Address City Name:
WESTAMPTON
Provider Business Mailing Address State Name:
NJ
Provider Business Mailing Address Postal Code:
08060-9600
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
609-267-0916
Provider Business Mailing Address Fax Number:
609-267-9441

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
640 NORTH WHITEHORSE PIKE
Provider Second Line Business Practice Location Address:
DR LORI REAVES
Provider Business Practice Location Address City Name:
HAMMONTON
Provider Business Practice Location Address State Name:
NJ
Provider Business Practice Location Address Postal Code:
08037-2014
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
609-567-9003
Provider Business Practice Location Address Fax Number:
609-567-9269
Provider Enumeration Date:
11/09/2006

Additional Information

Authorized Official

Authorized Official Last Name:
NERI
Authorized Official First Name:
SHARENE
Authorized Official Middle Name:
A
Authorized Official Title or Position:
OWNER OPERATOR
Authorized Official Telephone Number:
609-267-0916

Provider Taxonomy Codes

  • Taxonomy code: 2471S1302X ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

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





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