Provider Demographics
NPI:1134327588
Name:WESTGATE STAFFING AND RECRUITMENT AGENCY, CORP.
Entity Type:Organization
Organization Name:WESTGATE STAFFING AND RECRUITMENT AGENCY, CORP.
Other - Org Name:ABOVE AND BEYOND HOME HEALTH CARE AGENCY
Other - Org Type:Doing Business As
Authorized Official - Title/Position:ADMINISTRATOR
Authorized Official - Prefix:MR
Authorized Official - First Name:TITO
Authorized Official - Middle Name:MERCADO
Authorized Official - Last Name:DE JESUS
Authorized Official - Suffix:
Authorized Official - Credentials:RN
Authorized Official - Phone:219-310-1977
Mailing Address - Street 1:1384 BRANDYWINE RD
Mailing Address - Street 2:
Mailing Address - City:CROWN POINT
Mailing Address - State:IN
Mailing Address - Zip Code:46307-9307
Mailing Address - Country:US
Mailing Address - Phone:219-310-1977
Mailing Address - Fax:219-714-2460
Practice Address - Street 1:1449 E 84TH PL
Practice Address - Street 2:SUITE B
Practice Address - City:MERRILLVILLE
Practice Address - State:IN
Practice Address - Zip Code:46410-6451
Practice Address - Country:US
Practice Address - Phone:219-714-7612
Practice Address - Fax:219-714-2460
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-07-06
Last Update Date:2007-10-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health