Provider Demographics
NPI:1053857342
Name:CONNECT AND MOVE STAFFING LLC
Entity Type:Organization
Organization Name:CONNECT AND MOVE STAFFING LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:ADMINISTRATOR
Authorized Official - Prefix:
Authorized Official - First Name:CHRISTINE
Authorized Official - Middle Name:
Authorized Official - Last Name:KNIGHT
Authorized Official - Suffix:
Authorized Official - Credentials:LPN
Authorized Official - Phone:352-708-6066
Mailing Address - Street 1:1216 BOWMAN ST
Mailing Address - Street 2:
Mailing Address - City:CLERMONT
Mailing Address - State:FL
Mailing Address - Zip Code:34711-3144
Mailing Address - Country:US
Mailing Address - Phone:352-708-6496
Mailing Address - Fax:352-708-5782
Practice Address - Street 1:1216 BOWMAN ST
Practice Address - Street 2:
Practice Address - City:CLERMONT
Practice Address - State:FL
Practice Address - Zip Code:34711-3144
Practice Address - Country:US
Practice Address - Phone:352-708-6496
Practice Address - Fax:352-708-5782
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2017-01-11
Last Update Date:2017-01-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FL234304253Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes253Z00000XAgenciesIn Home Supportive Care
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL019251400Medicaid