Provider Demographics
NPI:1437487840
Name:HEALTHCARE STAFFING, INC.
Entity Type:Organization
Organization Name:HEALTHCARE STAFFING, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:ADMINISTRATOR
Authorized Official - Prefix:
Authorized Official - First Name:AMRENDRA
Authorized Official - Middle Name:
Authorized Official - Last Name:KUMAR
Authorized Official - Suffix:
Authorized Official - Credentials:OTR/L
Authorized Official - Phone:630-674-1187
Mailing Address - Street 1:101 ROYCE RD
Mailing Address - Street 2:SUITE 16
Mailing Address - City:BOLINGBROOK
Mailing Address - State:IL
Mailing Address - Zip Code:60440-1458
Mailing Address - Country:US
Mailing Address - Phone:630-226-9515
Mailing Address - Fax:
Practice Address - Street 1:101 ROYCE RD
Practice Address - Street 2:SUITE 16
Practice Address - City:BOLINGBROOK
Practice Address - State:IL
Practice Address - Zip Code:60440-1458
Practice Address - Country:US
Practice Address - Phone:630-226-9515
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2009-11-23
Last Update Date:2009-11-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL056005453225X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes225X00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational TherapistGroup - Multi-Specialty