Provider Demographics
NPI:1629343876
Name:HOMECARE STAFFING SERVICES LLC
Entity Type:Organization
Organization Name:HOMECARE STAFFING SERVICES LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:GREGORY
Authorized Official - Middle Name:
Authorized Official - Last Name:BARRIOS
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:239-673-6165
Mailing Address - Street 1:618 SW 3RD ST
Mailing Address - Street 2:SUITE 117
Mailing Address - City:CAPE CORAL
Mailing Address - State:FL
Mailing Address - Zip Code:33991-1985
Mailing Address - Country:US
Mailing Address - Phone:239-673-6165
Mailing Address - Fax:
Practice Address - Street 1:618 SW 3RD ST
Practice Address - Street 2:ST 117
Practice Address - City:CAPE CORAL
Practice Address - State:FL
Practice Address - Zip Code:33991-1985
Practice Address - Country:US
Practice Address - Phone:239-673-6165
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2012-03-20
Last Update Date:2013-03-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health