Provider Demographics
NPI:1598057382
Name:VIGILANT HEALTHCARE STAFFING, LLC
Entity Type:Organization
Organization Name:VIGILANT HEALTHCARE STAFFING, LLC
Other - Org Name:VIGILANT HOME CARE
Other - Org Type:Doing Business As
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MR
Authorized Official - First Name:A
Authorized Official - Middle Name:LEWIS
Authorized Official - Last Name:GLOVER
Authorized Official - Suffix:
Authorized Official - Credentials:MED
Authorized Official - Phone:980-819-5003
Mailing Address - Street 1:600 TOWNE CENTRE BLVD STE 102
Mailing Address - Street 2:
Mailing Address - City:PINEVILLE
Mailing Address - State:NC
Mailing Address - Zip Code:28134-8473
Mailing Address - Country:US
Mailing Address - Phone:980-422-2500
Mailing Address - Fax:980-819-5006
Practice Address - Street 1:600 TOWNE CENTRE BLVD STE 102
Practice Address - Street 2:
Practice Address - City:PINEVILLE
Practice Address - State:NC
Practice Address - Zip Code:28134-8473
Practice Address - Country:US
Practice Address - Phone:980-422-2500
Practice Address - Fax:980-819-5006
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2011-05-11
Last Update Date:2023-09-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NCHC4327253Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes253Z00000XAgenciesIn Home Supportive Care