Provider Demographics
NPI:1821738352
Name:EMPIRE HEALTHCARE STAFFING
Entity Type:Organization
Organization Name:EMPIRE HEALTHCARE STAFFING
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:NURSE ADMIN
Authorized Official - Prefix:
Authorized Official - First Name:YARKESHA
Authorized Official - Middle Name:
Authorized Official - Last Name:CARTER
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:770-289-6011
Mailing Address - Street 1:302 DEERING RD NW APT 6317
Mailing Address - Street 2:
Mailing Address - City:ATLANTA
Mailing Address - State:GA
Mailing Address - Zip Code:30309-2285
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:302 DEERING RD NW APT 6317
Practice Address - Street 2:
Practice Address - City:ATLANTA
Practice Address - State:GA
Practice Address - Zip Code:30309-2285
Practice Address - Country:US
Practice Address - Phone:770-289-6011
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-03-31
Last Update Date:2022-03-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes164W00000XNursing Service ProvidersLicensed Practical NurseGroup - Single Specialty