Provider Demographics
NPI:1972020196
Name:CARE MANAGEMENT TEMPORARY STAFFING AGENCY, INC.
Entity Type:Organization
Organization Name:CARE MANAGEMENT TEMPORARY STAFFING AGENCY, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT/CEO
Authorized Official - Prefix:
Authorized Official - First Name:MARLENA
Authorized Official - Middle Name:
Authorized Official - Last Name:CARTER DIAZ
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:617-383-7531
Mailing Address - Street 1:28 GLENWAY ST
Mailing Address - Street 2:
Mailing Address - City:DORCHESTER
Mailing Address - State:MA
Mailing Address - Zip Code:02121-4008
Mailing Address - Country:US
Mailing Address - Phone:617-383-7531
Mailing Address - Fax:
Practice Address - Street 1:1452 DORCHESTER AVE STE 4
Practice Address - Street 2:
Practice Address - City:DORCHESTER
Practice Address - State:MA
Practice Address - Zip Code:02122-1386
Practice Address - Country:US
Practice Address - Phone:617-383-7531
Practice Address - Fax:617-740-0633
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2017-08-28
Last Update Date:2017-08-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health
No251B00000XAgenciesCase Management
No251J00000XAgenciesNursing Care
No251S00000XAgenciesCommunity/Behavioral Health
No253Z00000XAgenciesIn Home Supportive Care
No261QP2000XAmbulatory Health Care FacilitiesClinic/CenterPhysical Therapy