Provider Demographics
NPI:1891042602
Name:SINGLE SOURCE STAFFING INC
Entity Type:Organization
Organization Name:SINGLE SOURCE STAFFING INC
Other - Org Name:INTERIM HEALTHCARE STAFFING INC.
Other - Org Type:Doing Business As
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MRS
Authorized Official - First Name:BHARTI
Authorized Official - Middle Name:
Authorized Official - Last Name:DUDANI
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:800-550-6946
Mailing Address - Street 1:6707 ROOSEVELT AVE
Mailing Address - Street 2:WOODSIDE
Mailing Address - City:WOODSIDE
Mailing Address - State:NY
Mailing Address - Zip Code:11377-2923
Mailing Address - Country:US
Mailing Address - Phone:800-550-6946
Mailing Address - Fax:866-414-6462
Practice Address - Street 1:6707 ROOSEVELT AVE
Practice Address - Street 2:WOODSIDE
Practice Address - City:WOODSIDE
Practice Address - State:NY
Practice Address - Zip Code:11377-2923
Practice Address - Country:US
Practice Address - Phone:800-550-6946
Practice Address - Fax:866-414-6462
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2012-08-10
Last Update Date:2012-08-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY1423744251B00000X, 251C00000X, 251E00000X, 251F00000X, 251J00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251J00000XAgenciesNursing Care
No251B00000XAgenciesCase Management
No251C00000XAgenciesDay Training, Developmentally Disabled Services
No251E00000XAgenciesHome Health
No251F00000XAgenciesHome Infusion