Provider Demographics
NPI:1467580134
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 NW 51ST ST 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:561-322-1400
Practice Address - Street 1:9503 SAN PEDRO AVE
Practice Address - Street 2:
Practice Address - City:SAN ANTONIO
Practice Address - State:TX
Practice Address - Zip Code:78216-4429
Practice Address - Country:US
Practice Address - Phone:210-340-1990
Practice Address - Fax:210-340-1953
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:MEDICAL STAFFING NETWORK INC.
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2007-03-02
Last Update Date:2011-06-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX008316251E00000X, 251J00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health
No251J00000XAgenciesNursing Care
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX001012481OtherMDCP
TX162353001Medicaid
FL=========OtherTIN