Provider Demographics
NPI:1336578905
Name:RISING SUN MEDICAL STAFFING, LLC
Entity Type:Organization
Organization Name:RISING SUN MEDICAL STAFFING, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:FOUNDER
Authorized Official - Prefix:MS
Authorized Official - First Name:ANAMARIA
Authorized Official - Middle Name:
Authorized Official - Last Name:TAPIA
Authorized Official - Suffix:
Authorized Official - Credentials:REGISTERED NURSE/FNP
Authorized Official - Phone:888-653-2598
Mailing Address - Street 1:6518 BAYFIELD AVE
Mailing Address - Street 2:
Mailing Address - City:ARVERNE
Mailing Address - State:NY
Mailing Address - Zip Code:11692-1305
Mailing Address - Country:US
Mailing Address - Phone:718-510-2713
Mailing Address - Fax:
Practice Address - Street 1:6518 BAYFIELD AVE
Practice Address - Street 2:
Practice Address - City:ARVERNE
Practice Address - State:NY
Practice Address - Zip Code:11692-1305
Practice Address - Country:US
Practice Address - Phone:718-510-2713
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2013-11-05
Last Update Date:2013-11-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health