1861493777 NPI number — AM STAFF SERVICES, 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 1861493777 NPI number — AM STAFF SERVICES, INC.

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
AM STAFF SERVICES, 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:
1861493777
Entity Type Code:
Organization
Replacement NPI:
Last Update Date:
12/17/2012
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
1990 NE 163RD STREET
Provider Second Line Business Mailing Address:
SUITE 109
Provider Business Mailing Address City Name:
NORTH MIAMI BEACH
Provider Business Mailing Address State Name:
FL
Provider Business Mailing Address Postal Code:
33162
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
305-944-7845
Provider Business Mailing Address Fax Number:
305-944-2892

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
1100 NE 163RD ST
Provider Second Line Business Practice Location Address:
SUITE 304
Provider Business Practice Location Address City Name:
NORTH MIAMI BEACH
Provider Business Practice Location Address State Name:
FL
Provider Business Practice Location Address Postal Code:
33162-4515
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
305-944-7845
Provider Business Practice Location Address Fax Number:
305-944-2892
Provider Enumeration Date:
08/02/2005

Additional Information

Authorized Official

Authorized Official Last Name:
PEREZ
Authorized Official First Name:
AMELIA
Authorized Official Middle Name:
Authorized Official Title or Position:
DIRECTOR OF NURSING
Authorized Official Telephone Number:
786-280-6643

Provider Taxonomy Codes

  • Taxonomy code: 251E00000X , with the licence number:  HHA299991946 , registered in the state of FL ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

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

  • Identifier: 651081700 , issued by the state of ( FL ) . This identifiers is of the category "MEDICAID".




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