Provider Demographics
NPI:1578725040
Name:HOME STAFF, LLC
Entity Type:Organization
Organization Name:HOME STAFF, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CHEIF EXECUTIVE OFFICER
Authorized Official - Prefix:MRS
Authorized Official - First Name:ANGELA
Authorized Official - Middle Name:
Authorized Official - Last Name:ROCHELEAU
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:508-755-4600
Mailing Address - Street 1:40 MILLBROOK ST
Mailing Address - Street 2:
Mailing Address - City:WORCESTER
Mailing Address - State:MA
Mailing Address - Zip Code:01606-2836
Mailing Address - Country:US
Mailing Address - Phone:508-755-4600
Mailing Address - Fax:508-421-4758
Practice Address - Street 1:40 MILLBROOK ST
Practice Address - Street 2:
Practice Address - City:WORCESTER
Practice Address - State:MA
Practice Address - Zip Code:01606-2836
Practice Address - Country:US
Practice Address - Phone:508-755-4600
Practice Address - Fax:508-421-4758
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-06-26
Last Update Date:2008-06-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA7092251E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health