Provider Demographics
NPI:1134956428
Name:BLUE HEART STAFFING INC.
Entity type:Organization
Organization Name:BLUE HEART STAFFING INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:MR
Authorized Official - First Name:EARL
Authorized Official - Middle Name:JAMES
Authorized Official - Last Name:CHRISTENSEN
Authorized Official - Suffix:III
Authorized Official - Credentials:
Authorized Official - Phone:810-705-0734
Mailing Address - Street 1:11860 KALAMATA DR
Mailing Address - Street 2:
Mailing Address - City:DEWITT
Mailing Address - State:MI
Mailing Address - Zip Code:48820-7942
Mailing Address - Country:US
Mailing Address - Phone:810-705-0734
Mailing Address - Fax:
Practice Address - Street 1:11860 KALAMATA DR
Practice Address - Street 2:
Practice Address - City:DEWITT
Practice Address - State:MI
Practice Address - Zip Code:48820-7942
Practice Address - Country:US
Practice Address - Phone:810-705-0734
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-09-19
Last Update Date:2024-09-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health