Provider Demographics
NPI:1295256097
Name:OCEANSIDE HEALTHCARE STAFFING, INC.
Entity type:Organization
Organization Name:OCEANSIDE HEALTHCARE STAFFING, INC.
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MR
Authorized Official - First Name:ANDREW
Authorized Official - Middle Name:H
Authorized Official - Last Name:GIBBS
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:760-754-9020
Mailing Address - Street 1:2216 S EL CAMINO REAL STE 211
Mailing Address - Street 2:
Mailing Address - City:OCEANSIDE
Mailing Address - State:CA
Mailing Address - Zip Code:92054-6371
Mailing Address - Country:US
Mailing Address - Phone:760-754-9020
Mailing Address - Fax:760-754-9070
Practice Address - Street 1:2216 S EL CAMINO REAL STE 211
Practice Address - Street 2:
Practice Address - City:OCEANSIDE
Practice Address - State:CA
Practice Address - Zip Code:92054-6371
Practice Address - Country:US
Practice Address - Phone:760-754-9020
Practice Address - Fax:760-754-9070
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2017-06-30
Last Update Date:2022-07-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health