Provider Demographics
NPI:1578730107
Name:STAFFING NURSES, INC
Entity Type:Organization
Organization Name:STAFFING NURSES, INC
Other - Org Name:STAFFING NURSES HOSPICE
Other - Org Type:Doing Business As
Authorized Official - Title/Position:PRESIDENT/ OWNER
Authorized Official - Prefix:MR
Authorized Official - First Name:MIGUEL
Authorized Official - Middle Name:
Authorized Official - Last Name:HERNANDEZ
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:469-726-0062
Mailing Address - Street 1:600 S BRYAN BELT LINE RD
Mailing Address - Street 2:SUITE A
Mailing Address - City:MESQUITE
Mailing Address - State:TX
Mailing Address - Zip Code:75149-5000
Mailing Address - Country:US
Mailing Address - Phone:469-726-0062
Mailing Address - Fax:
Practice Address - Street 1:600 S BRYAN BELT LINE RD
Practice Address - Street 2:SUITE A
Practice Address - City:MESQUITE
Practice Address - State:TX
Practice Address - Zip Code:75149-5000
Practice Address - Country:US
Practice Address - Phone:469-726-0062
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-05-13
Last Update Date:2013-06-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX010841251G00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251G00000XAgenciesHospice Care, Community Based
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX671582Medicare Oscar/Certification