Provider Demographics
NPI:1275853210
Name:THERACARE STAFFING SERVICES, INC.
Entity Type:Organization
Organization Name:THERACARE STAFFING SERVICES, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MR
Authorized Official - First Name:JOHN
Authorized Official - Middle Name:
Authorized Official - Last Name:CALDERON
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:212-564-2350
Mailing Address - Street 1:116 W 32ND ST
Mailing Address - Street 2:8TH FLR.
Mailing Address - City:NEW YORK
Mailing Address - State:NY
Mailing Address - Zip Code:10001-3212
Mailing Address - Country:US
Mailing Address - Phone:212-564-2350
Mailing Address - Fax:212-564-2578
Practice Address - Street 1:116 W 32ND ST
Practice Address - Street 2:8TH FLR.
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10001-3212
Practice Address - Country:US
Practice Address - Phone:212-564-2350
Practice Address - Fax:212-564-2578
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:THERACARE OF NEW YORK, INC.
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2010-06-01
Last Update Date:2010-06-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251J00000XAgenciesNursing Care