Provider Demographics
NPI:1689216681
Name:MAGNASTAFF, LLC
Entity Type:Organization
Organization Name:MAGNASTAFF, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CARE COORDINATOR
Authorized Official - Prefix:
Authorized Official - First Name:BESA
Authorized Official - Middle Name:
Authorized Official - Last Name:BAJRAKTARI
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:630-936-7783
Mailing Address - Street 1:10526 W CERMAK RD STE 209
Mailing Address - Street 2:
Mailing Address - City:WESTCHESTER
Mailing Address - State:IL
Mailing Address - Zip Code:60154-5200
Mailing Address - Country:US
Mailing Address - Phone:708-223-5940
Mailing Address - Fax:
Practice Address - Street 1:10526 W CERMAK RD STE 209
Practice Address - Street 2:
Practice Address - City:WESTCHESTER
Practice Address - State:IL
Practice Address - Zip Code:60154-5200
Practice Address - Country:US
Practice Address - Phone:708-223-5940
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2019-10-10
Last Update Date:2020-07-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes253Z00000XAgenciesIn Home Supportive Care