Provider Demographics
NPI:1437287562
Name:MEDICAL STAFFING NETWORK, INC.
Entity Type:Organization
Organization Name:MEDICAL STAFFING NETWORK, INC.
Other - Org Name:NURSES PLUS
Other - Org Type:Doing Business As
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MR
Authorized Official - First Name:KEVIN
Authorized Official - Middle Name:
Authorized Official - Last Name:LITTLE
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:561-322-1300
Mailing Address - Street 1:901 YAMATO RD STE 110
Mailing Address - Street 2:
Mailing Address - City:BOCA RATON
Mailing Address - State:FL
Mailing Address - Zip Code:33431-4415
Mailing Address - Country:US
Mailing Address - Phone:561-322-1300
Mailing Address - Fax:561-322-1445
Practice Address - Street 1:11551 FOREST CENTRAL DR STE 100
Practice Address - Street 2:
Practice Address - City:DALLAS
Practice Address - State:TX
Practice Address - Zip Code:75243-3946
Practice Address - Country:US
Practice Address - Phone:214-341-3796
Practice Address - Fax:214-341-3795
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:MEDICAL STAFFING NETWORK INC.
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2007-03-01
Last Update Date:2009-03-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX008392251E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX162349801Medicaid
TX001012480OtherMDCP
TX001012480OtherMDCP