Provider Demographics
NPI:1568778686
Name:MEDICAL STAFFING NETWORK HEALTHCARE, LLC
Entity Type:Organization
Organization Name:MEDICAL STAFFING NETWORK HEALTHCARE, LLC
Other - Org Name:MSN HOMECARE
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:561-322-1400
Practice Address - Street 1:4525 WEAVER PKWY STE 310
Practice Address - Street 2:
Practice Address - City:WARRENVILLE
Practice Address - State:IL
Practice Address - Zip Code:60555-0317
Practice Address - Country:US
Practice Address - Phone:630-791-2025
Practice Address - Fax:630-791-2424
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:MEDICAL STAFFING NETWORK HEALTHCARE, LLC
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2010-08-26
Last Update Date:2010-11-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL2007538251E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health