Provider Demographics
NPI:1871190470
Name:SHOW ME CARE QUALITY STAFFING, INC.
Entity Type:Organization
Organization Name:SHOW ME CARE QUALITY STAFFING, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:VICE-PRESIDENT
Authorized Official - Prefix:MR
Authorized Official - First Name:ANTONIO
Authorized Official - Middle Name:
Authorized Official - Last Name:THOMAS
Authorized Official - Suffix:
Authorized Official - Credentials:MHA
Authorized Official - Phone:314-324-0165
Mailing Address - Street 1:2652 TWIN OAKS CT APT 52
Mailing Address - Street 2:
Mailing Address - City:DECATUR
Mailing Address - State:IL
Mailing Address - Zip Code:62526-5837
Mailing Address - Country:US
Mailing Address - Phone:314-324-0165
Mailing Address - Fax:
Practice Address - Street 1:711 OLD BALLAS RD STE 220
Practice Address - Street 2:
Practice Address - City:CREVE COEUR
Practice Address - State:MO
Practice Address - Zip Code:63141-7069
Practice Address - Country:US
Practice Address - Phone:314-324-0165
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-10-06
Last Update Date:2020-10-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes163WM0705XNursing Service ProvidersRegistered NurseMedical-SurgicalGroup - Multi-Specialty
No164W00000XNursing Service ProvidersLicensed Practical NurseGroup - Multi-Specialty