Provider Demographics
NPI:1962867374
Name:PIVOT STAFFING, LLC
Entity Type:Organization
Organization Name:PIVOT STAFFING, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CFO
Authorized Official - Prefix:
Authorized Official - First Name:KERRIE
Authorized Official - Middle Name:
Authorized Official - Last Name:KELLY
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:609-646-0388
Mailing Address - Street 1:6814 TILTON ROAD
Mailing Address - Street 2:
Mailing Address - City:EGG HARBOR TWP.
Mailing Address - State:NJ
Mailing Address - Zip Code:08234
Mailing Address - Country:US
Mailing Address - Phone:609-646-0388
Mailing Address - Fax:609-646-5622
Practice Address - Street 1:6814 TILTON RD
Practice Address - Street 2:
Practice Address - City:EGG HARBOR TWP
Practice Address - State:NJ
Practice Address - Zip Code:08234-4490
Practice Address - Country:US
Practice Address - Phone:609-646-0388
Practice Address - Fax:609-646-5622
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2015-12-30
Last Update Date:2015-12-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes253Z00000XAgenciesIn Home Supportive Care
No251E00000XAgenciesHome Health
No251G00000XAgenciesHospice Care, Community Based
No251S00000XAgenciesCommunity/Behavioral Health