Provider Demographics
NPI:1861493777
Name:AM STAFF SERVICES, INC.
Entity Type:Organization
Organization Name:AM STAFF SERVICES, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DIRECTOR OF NURSING
Authorized Official - Prefix:
Authorized Official - First Name:AMELIA
Authorized Official - Middle Name:
Authorized Official - Last Name:PEREZ
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:786-280-6643
Mailing Address - Street 1:1990 NE 163RD STREET
Mailing Address - Street 2:SUITE 109
Mailing Address - City:NORTH MIAMI BEACH
Mailing Address - State:FL
Mailing Address - Zip Code:33162
Mailing Address - Country:US
Mailing Address - Phone:305-944-7845
Mailing Address - Fax:305-944-2892
Practice Address - Street 1:1100 NE 163RD ST
Practice Address - Street 2:SUITE 304
Practice Address - City:NORTH MIAMI BEACH
Practice Address - State:FL
Practice Address - Zip Code:33162-4515
Practice Address - Country:US
Practice Address - Phone:305-944-7845
Practice Address - Fax:305-944-2892
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2005-08-02
Last Update Date:2012-12-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLHHA299991946251E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL651081700Medicaid
FL651081700Medicaid