Provider Demographics
NPI:1134836588
Name:BERKSHIRE HEALTHCARE STAFFING SOLUTIONS LLC
Entity type:Organization
Organization Name:BERKSHIRE HEALTHCARE STAFFING SOLUTIONS LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MANAGING DIRECTOR
Authorized Official - Prefix:MS
Authorized Official - First Name:MICHELE
Authorized Official - Middle Name:
Authorized Official - Last Name:SASSINE-PETION
Authorized Official - Suffix:
Authorized Official - Credentials:APRN
Authorized Official - Phone:813-790-8815
Mailing Address - Street 1:5804 BOYETTE RD UNIT 7215
Mailing Address - Street 2:
Mailing Address - City:WESLEY CHAPEL
Mailing Address - State:FL
Mailing Address - Zip Code:33545-8009
Mailing Address - Country:US
Mailing Address - Phone:813-790-8815
Mailing Address - Fax:
Practice Address - Street 1:33108 SHADOW BRANCH LN
Practice Address - Street 2:
Practice Address - City:WESLEY CHAPEL
Practice Address - State:FL
Practice Address - Zip Code:33545-5126
Practice Address - Country:US
Practice Address - Phone:813-790-8815
Practice Address - Fax:813-864-6786
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-11-03
Last Update Date:2022-11-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QH0100XAmbulatory Health Care FacilitiesClinic/CenterHealth Service