Provider Demographics
NPI:1760867501
Name:UPLINK STAFFING INC
Entity Type:Organization
Organization Name:UPLINK STAFFING INC
Other - Org Name:AMERICAN FAMILY HOME CARE
Other - Org Type:Doing Business As
Authorized Official - Title/Position:ADMINISTRATOR
Authorized Official - Prefix:MS
Authorized Official - First Name:LOVETH
Authorized Official - Middle Name:O
Authorized Official - Last Name:AMAYANVBO
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:763-971-8888
Mailing Address - Street 1:5901 BROOKLYN BLVD
Mailing Address - Street 2:208
Mailing Address - City:BROOKLYN CENTER
Mailing Address - State:MN
Mailing Address - Zip Code:55429-2517
Mailing Address - Country:US
Mailing Address - Phone:763-971-8888
Mailing Address - Fax:763-971-8892
Practice Address - Street 1:5901 BROOKLYN BLVD
Practice Address - Street 2:208
Practice Address - City:BROOKLYN CENTER
Practice Address - State:MN
Practice Address - Zip Code:55429-2517
Practice Address - Country:US
Practice Address - Phone:763-971-8888
Practice Address - Fax:763-971-8892
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2015-07-22
Last Update Date:2016-02-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MN372896251E00000X
MNHE-01084-04311Z00000X, 251J00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251J00000XAgenciesNursing Care
Yes251E00000XAgenciesHome Health
No311Z00000XNursing & Custodial Care FacilitiesCustodial Care Facility
Provider Identifiers
StateIdentifier IDID TypeIssuer
MN372896Medicaid