Provider Demographics
NPI:1336562289
Name:RX STAFFING AND HOME CARE INC
Entity Type:Organization
Organization Name:RX STAFFING AND HOME CARE INC
Other - Org Name:RX STAFFING HOSPICE CARE
Other - Org Type:Doing Business As
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:MR
Authorized Official - First Name:KEN
Authorized Official - Middle Name:
Authorized Official - Last Name:ERMAN
Authorized Official - Suffix:
Authorized Official - Credentials:BSN
Authorized Official - Phone:916-485-8200
Mailing Address - Street 1:4640 MARCONI AVE
Mailing Address - Street 2:SUITE 5
Mailing Address - City:SACRAMENTO
Mailing Address - State:CA
Mailing Address - Zip Code:95821-4355
Mailing Address - Country:US
Mailing Address - Phone:916-570-3060
Mailing Address - Fax:916-485-4400
Practice Address - Street 1:4640 MARCONI AVE
Practice Address - Street 2:SUITE 5
Practice Address - City:SACRAMENTO
Practice Address - State:CA
Practice Address - Zip Code:95821-4355
Practice Address - Country:US
Practice Address - Phone:916-570-3060
Practice Address - Fax:916-485-4400
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2014-01-29
Last Update Date:2014-08-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA100000563251G00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251G00000XAgenciesHospice Care, Community Based