Provider Demographics
NPI:1922769025
Name:BEHIND THE SCENES STAFFING AGENCY, LLC
Entity Type:Organization
Organization Name:BEHIND THE SCENES STAFFING AGENCY, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DIRECTOR OF OPERATIONS
Authorized Official - Prefix:MS
Authorized Official - First Name:EBONY
Authorized Official - Middle Name:K
Authorized Official - Last Name:WALKER
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:414-377-1738
Mailing Address - Street 1:4118 W CAPITOL DR
Mailing Address - Street 2:
Mailing Address - City:MILWAUKEE
Mailing Address - State:WI
Mailing Address - Zip Code:53216-2533
Mailing Address - Country:US
Mailing Address - Phone:414-377-1738
Mailing Address - Fax:
Practice Address - Street 1:4118 W CAPITOL DR
Practice Address - Street 2:
Practice Address - City:MILWAUKEE
Practice Address - State:WI
Practice Address - Zip Code:53216-2533
Practice Address - Country:US
Practice Address - Phone:414-377-1738
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-01-02
Last Update Date:2022-01-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QC1500XAmbulatory Health Care FacilitiesClinic/CenterCommunity Health
No251B00000XAgenciesCase Management
No251G00000XAgenciesHospice Care, Community Based
No251K00000XAgenciesPublic Health or Welfare
No261QR1300XAmbulatory Health Care FacilitiesClinic/CenterRural Health
No332BC3200XSuppliersDurable Medical Equipment & Medical SuppliesCustomized Equipment