Provider Demographics
NPI:1164976189
Name:BIRD IN THE HAND STAFFING
Entity Type:Organization
Organization Name:BIRD IN THE HAND STAFFING
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MISS
Authorized Official - First Name:ROBIN
Authorized Official - Middle Name:ELAINE
Authorized Official - Last Name:SIMPSON
Authorized Official - Suffix:
Authorized Official - Credentials:RN
Authorized Official - Phone:309-467-5254
Mailing Address - Street 1:614 STATE ROUTE 116
Mailing Address - Street 2:
Mailing Address - City:METAMORA
Mailing Address - State:IL
Mailing Address - Zip Code:61548-7731
Mailing Address - Country:US
Mailing Address - Phone:309-467-5254
Mailing Address - Fax:309-467-5303
Practice Address - Street 1:614 STATE ROUTE 116
Practice Address - Street 2:
Practice Address - City:METAMORA
Practice Address - State:IL
Practice Address - Zip Code:61548-7731
Practice Address - Country:US
Practice Address - Phone:309-467-5254
Practice Address - Fax:309-467-5303
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2016-08-08
Last Update Date:2021-05-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
251E00000X, 253Z00000X, 261QA0600X, 332B00000X
IL4000488251J00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251J00000XAgenciesNursing Care
No251E00000XAgenciesHome Health
No253Z00000XAgenciesIn Home Supportive Care
No261QA0600XAmbulatory Health Care FacilitiesClinic/CenterAdult Day Care
No332B00000XSuppliersDurable Medical Equipment & Medical Supplies